Urology Department, King Fahad Specialist Hospital, Dammam, Saudi Arabia; Urology Department, Faculty of Medicine, Mansoura University, Mansoura, Egypt.
Urology Department, King Fahad Specialist Hospital, Dammam, Saudi Arabia.
Urology. 2023 Mar;173:e1-e5. doi: 10.1016/j.urology.2023.01.005. Epub 2023 Jan 16.
Ureteral injury is one of the major complications related to colorectal and gynecologic procedures. Injuries are sometimes identified intraoperatively, but the diagnosis of ureteral injury is often delayed. Ureterocolic fistula is a relatively rare condition and mostly due to obstructing calculi, diverticular disease of the colon, radiotherapy, cancer, or trauma. Here in, we present a boy with an iatrogenic left ureterocolic fistula following multiple colonic surgeries that were complicated by an un-noticed left ureteric injury. This injury was not diagnosed early and the patient presented later with recurrent UTIs and decreased left differential renal function which necessitated open left nephroureterectomy.
输尿管损伤是与结直肠和妇科手术相关的主要并发症之一。损伤有时在术中被识别，但输尿管损伤的诊断常常被延迟。输尿管结肠瘘是一种相对罕见的情况，主要由梗阻性结石、结肠憩室病、放疗、癌症或外伤引起。在此，我们介绍了一个男孩，他因多次结肠手术而导致左侧医源性输尿管结肠瘘，其中左侧输尿管损伤未被注意到。该损伤未被早期诊断，患者随后出现反复尿路感染和左侧分肾功能下降，需要行开放性左肾输尿管切除术。
