Saladie J M, Bayona S, Blasco F J, Ponce de Léon I
Hospital de Badalone Germans Trias I Pujol, Barcelone, Espagne.
J Urol (Paris). 1988;94(1):43-4.
Ureteral lesions following surgery to aorta are reported infrequently. Since 1966, when Lytton published an account of ureteral obstruction from a graft anterior to ureter, several series have been published. In the present case the initial problem was to consider the diagnosis, masked by a supposedly abdominal symptomatology. The second stage was analysis of results of urography and tests of the fluid collection. Effective treatment of this serious complication with preservation of infection of graft was obtained in the case reported by conservative surgery by means of ureteral anastomosis.
主动脉手术后输尿管损伤的报道并不常见。自1966年利顿报道输尿管前方移植血管导致输尿管梗阻以来,已有多个系列报道。在本病例中,最初的问题是考虑诊断,其被假定的腹部症状所掩盖。第二阶段是分析尿路造影结果和积液检查结果。在本病例报道中,通过输尿管吻合术的保守手术有效治疗了这一严重并发症,同时保留了移植血管的感染。