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Published on: April 28, 2013
Ureteral avulsion after ureteroscopy treated with renal auto-transplantation
Riya Sanampudi1, Maria C Velasquez1, Chris E Freise2
1Department of Urology, University of California San Francisco, San Francisco, CA, USA.
Abstract:
Ureteral avulsion can be secondary to blunt or penetrating trauma, or can emerge as a surgical complication. Popularization of minimally invasive interventions has significantly decreased ureteral injuries, ranging from 0% to 28% and varying from minor mucosal injury to perforation, and most catastrophically, avulsion. We present a case of complete ureteral avulsion that was not initially appreciated after undergoing ureteroscopy for stone extraction. Eventual recognition of this injury was managed successfully with a subsequent laparoscopically nephrectomy and renal auto-transplantation preserving renal function.
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