Ricci Carmelo, Cini Marco, Ceccherini Claudio, Vigni Francesco, Leonini Sara, Barbanti Gabriele
UO Radiologia Interventistica, Policlinico Le Scotte, Siena, Italy.
Urologia. 2012;79(1):36-43. doi: 10.5301/RU.2012.9008.
Iatrogenic ureteral lesions are well-known complications of abdominal and pelvic surgery. A combined radiologic-urologic approach might be necessary to repair these lesions.
A 69-year-old woman underwent bilateral hysteroannessectomy for endometrial cancer. She then became anuric. A CT scan showed multiple urinomas caused by bilateral ureteral lesions. The continuity of the two urinary tracts was restored using ureteral stents in a combined urologic and radiologic procedure.
The patient improved clinically and the renal function returned within normal limits.
The combined antegrade-retrograde approach is an effective technique to solve iatrogenic ureteral lesions.
医源性输尿管损伤是腹部和盆腔手术中众所周知的并发症。修复这些损伤可能需要放射学与泌尿外科联合的方法。
一名69岁女性因子宫内膜癌接受了双侧子宫附件切除术。术后她无尿。CT扫描显示双侧输尿管损伤导致多处尿外渗。通过泌尿外科和放射学联合操作,使用输尿管支架恢复了双侧尿路的连续性。
患者临床症状改善,肾功能恢复至正常范围。
顺行-逆行联合方法是解决医源性输尿管损伤的有效技术。