Ureteral injury after laparoscopic surgery

Cheng Hsien Liu, Peng Hui Wang, Wei Ming Liu, Chiou Chung Yuan

Research output: Contribution to journalArticlepeer-review

16 Citations (Scopus)

Abstract

Ureteral injuries are uncommon but serious complications of laparoscopic pelvic surgery. When unrecognized, patients experience fever, abdominal pain, signs of peritonitis, and leukocytosis usually 48 to 72 hours after the surgical procedure. A 48-year-old woman underwent laparoscopic-assisted vaginal hysterectomy, bilateral salpingo-oophorectomy, and anterior and posterior colporrhapy due to a large, symptomatic uterine myoma. Post- operatively, she suffered from progressive left lower quadrant pain, with drainage of yellowish fluid from the subumbilical puncture wound 5 days after the operation. Significant urinary ascites was present. Intravenous pyelogram revealed injury to the lower third of the left ureter about 3 cm away from the ureterovesical junction. Left-sided percutaneous nephrostomy was performed after transurethral placement of a ureteral stent failed. Reanastomosis of the ureter was performed successfully 3 months later, and the patient fully recovered without compromise of the genitourinary tract.

Original languageEnglish
Pages (from-to)503-506
Number of pages4
JournalJournal of the American Association of Gynecologic Laparoscopists
Volume4
Issue number4
Publication statusPublished - Aug 1997
Externally publishedYes

ASJC Scopus subject areas

  • Obstetrics and Gynaecology

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