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Iatrogenic ureteral injury after laparoscopic cholecystectomy in a 13-year-old boy

Job K Chacko1, Paul S Noh, Julia S Barthold

  • 1A.I. duPont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803, USA. jchacko@nemours.org

Journal of Pediatric Urology
|July 23, 2008
PubMed

Insights

A delayed ureteral injury can occur after laparoscopic cholecystectomy, presenting as gross hematuria. Prompt ureteral stent drainage led to a full recovery with no lasting complications.

Area of Science:

  • Urology
  • Surgical Complications
  • Minimally Invasive Surgery

Background:

  • Laparoscopic cholecystectomy is a common surgical procedure.
  • Ureteral injuries are rare but serious complications following abdominal surgery.
  • Delayed presentation of ureteral injury can complicate diagnosis and management.

Observation:

  • A patient developed gross hematuria following a laparoscopic cholecystectomy.
  • The hematuria was identified as a delayed ureteral injury.
  • The injury was diagnosed post-operatively.

Findings:

  • The patient's gross hematuria was attributed to a delayed ureteral injury.
  • Ureteral stent drainage was successfully employed as a treatment modality.
  • The patient experienced a positive outcome following intervention.

Implications:

  • This case highlights the importance of considering ureteral injury in patients presenting with delayed hematuria post-laparoscopic cholecystectomy.
  • Ureteral stent drainage is an effective treatment for delayed ureteral injury.
  • Early recognition and management can prevent long-term sequelae from ureteral injuries.

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