Abstract
A case of right ureteric damage in a 7-year-old boy who underwent appendicectomy is
described. Ultrasound, magnetic resonance urography, nephrostogram, and retrograde
ureterogram were helpful in defining the nature and extent of the lesion. He underwent
staged procedures of percutaneous nephrostomy, elective resection and reconstruction
of midureteral segment, and subsequent removal of double J stent and made a smooth
recovery.
Ureteric injuries, although rare, have serious consequences. A high index of suspicion
is essential for diagnosis. Management is influenced by site, type, extent, and mechanism
of injury, as well as the timing of detection.
Key words
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References
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- Ureteral injury at appendicectomy—a case report.J Indian Med Assoc. 1997; 95: 519-520
- Iatrogenic ureteral injury: can adult repair techniques be used on children?.J Pediatr Urol. 2009; 5: 53-55
- Iatrogenic ureteral injury after laparoscopic cholecystectomy in a 13-year-old boy.J Pediatr Urol. 2008; 4: 322-324
- Urinary tract trauma.in: Wilcox D.T. Godbole P.P. Koyle M.A. Pediatric urology— surgical complications and management. Wiley-Blackwell, Oxford2008: 296-303
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Article info
Publication history
Accepted:
July 8,
2010
Received in revised form:
July 5,
2010
Received:
March 23,
2010
Identification
Copyright
© 2010 Elsevier Inc. Published by Elsevier Inc. All rights reserved.
