Ureteral section ligation: A beautiful ureteral opacification by nephrostomy

Bakali Issaoui Zakaria *, Kharbach Youssef and Khallouk Abdelhak

Department of Urology, Mohammed VI University Hospital, Faculty of Medicine and Pharmacy, Abdelmalek Essaâdi University, 90000 Tangier, Morocco.
 
Case Study
World Journal of Advanced Research and Reviews, 2024, 22(02), 1652–1654
Article DOI10.30574/wjarr.2024.22.2.1616
 
Publication history: 
Received on 10 April 2024 revised on 22 May 2024; accepted on 24 May 2024
 
Abstract: 
This case report presents a 39-year-old primiparous woman who developed urine leakage following a hysterectomy for hemostasis. Uroscan revealed a left pelvic ureteral tear, unsuccessfully managed with JJ stents. A left percutaneous nephrostomy revealed double ligation with total ureteral section. Three months later, ureteral reimplantation was scheduled. Ureteral injuries are rare but can occur during pelvic surgery, often requiring advanced imaging for diagnosis and management. Nephrostomy with opacification proves valuable in visualizing and assessing ureteral injury extent when conventional methods are impractical.
 
Keywords: 
Ureteral section ligation; Hysterectomy; Nephrostomy percutaneous; Ureteral opacification.
 
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