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Conservative Management of Postoperative Urinary Leak and Intra-Abdominal Abscess.

Authors :
Herson AB
Villacreses CA
Rehm GM
Briceno SA
Healey KD
Brown MR
Miller BT
Fountain MW
Source :
Cureus [Cureus] 2023 Jun 06; Vol. 15 (6), pp. e40039. Date of Electronic Publication: 2023 Jun 06 (Print Publication: 2023).
Publication Year :
2023

Abstract

Ureteral injury is a rare occurrence in medical practice. Most cases encountered stem from blunt trauma or are iatrogenic, occurring during open abdominal or pelvic surgery and laparoscopic procedures. Prompt diagnosis of ureteral injury allows clinicians to avoid complications including ureteral strictures, abscess, renal failure, sepsis, and loss of the ipsilateral kidney. Treatment depends on whether the ureteral injury was discovered intraoperatively or if it was a delayed diagnosis. Several procedures can be used, including ureteroureterostomy, ureteroileal interposition, and nephrectomy. Stenting can also be a viable option as it can reestablish urinary drainage. Herein, we present the case of a 43-year-old male who presented with complaints of progressive abdominal pain that was subsequently diagnosed as a left ureteral injury and how the use of a ureteral stent allowed him to have a full recovery with optimized normal ureteral function.<br />Competing Interests: The authors have declared that no competing interests exist.<br /> (Copyright © 2023, Herson et al.)

Details

Language :
English
ISSN :
2168-8184
Volume :
15
Issue :
6
Database :
MEDLINE
Journal :
Cureus
Publication Type :
Academic Journal
Accession number :
37425614
Full Text :
https://doi.org/10.7759/cureus.40039