Iatrogenic ureteric injury with Filschie clipping during laparoscopic sterilization

The most common mode of injury to the ureter is iatrogenic; however, injury during laparoscopic sterilization is rare. Although thermal ureteric injury during laparoscopic sterilization has been reported, to our knowledge, this is the first published report of ureteric injury caused by placement of a Filschie clip during laparoscopic sterilization. This case highlights the diagnostic challenges and management options when such an injury occurs. Incidence of such events may be reduced by meticulous surgical technique and a thorough knowledge of the anatomy of the ureter and its relationship to the structures involved in a surgical procedure.