A case of ureteric injury postappendectomy presenting as ureterocutaneous fistula

Ureteric injuries, although uncommon, are a potential complication in pelvic and gynaecological surgeries and can have serious implications. The risk is mainly related to the complexity of the surgical procedure and the presence of eventual periureteric pathology. Ureteric injury during appendectomy is rare. The ureter may be damaged by laceration, being crushed, or thermal or ischaemic injury. The retrocaecal appendix, due to its proximity to the ureter, may also get accidentally injured. The most effective measure to prevent iatrogenic injury is to have a sound knowledge of abdominal and pelvic anatomy, meticulous surgical technique and an identification of factors that increase the likelihood of developing such complications.