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Case Reports
. 2020 Jan 14:30:101118.
doi: 10.1016/j.eucr.2020.101118. eCollection 2020 May.

Boari-Flap reconstrution due to a total ureteral avulsion in a patient with ipslateral ureterolithiasis and contralateral renal nodule

Gualter Ferreira de Andrade Junior  1 , Francisco Marcos da Silva Barroso  1 , Roger Arthur da Cunha Alves  1 , Jordi Gomes Marinho  2 , Juan Eduardo Rios Rodriguez  2 , Andre Luiz Campos Mancini  3
Affiliations
Case Reports

Boari-Flap reconstrution due to a total ureteral avulsion in a patient with ipslateral ureterolithiasis and contralateral renal nodule

Gualter Ferreira de Andrade Junior et al. Urol Case Rep. .

Abstract

The ureteral avulsion during ureterolithotripsy (URS) occurs due to the sudden movement of the optical device or endoscopic extractor either in its removal or insertion, associated with a probable previous lesion in the ureter wall, causing a vital fragility area. A 52-year-old male patient with, an obstructive calculus of 9 mm was found in the left middle ureter, and a heterogeneous hypervascular nodule located in the right kidney, suggesting neoplasia. During procedure with rigid ureteroscopy with ureteroscope removal, due to the pressure of the device and tissue fragility, there was total ureter avulsion.

Keywords: Kidney Neoplasm; Ureter; Ureteral Obstruction; Ureteroscopy.

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Figures

Fig. 1
Fig. 1
A. CT scan showing solid nodular lesion in the right kidney (before surgery) B. Computed tomography identifying calculus in left middle ureter, at L4-L5 height, with left kidney presenting obstructive uropathy components. (before surgery).
Fig. 2
Fig. 2
A. Intraoperative image showing ureterovesical anastomosis 2B. Avulsed ureter during the reconstruction procedure.
Fig. 3
Fig. 3
CT scan showing Boari-Flap anastomosis, with satisfactory contrast elimination.
See this image and copyright information in PMC

References

    1. Ordon M., Schuler T.D., Honey R.J.D. Ureteral avulsion during contemporary ureteroscopic stone management: “the scabbard avulsion. J Endourol. 2011 Jul 20;25(8):1259–1262. Available from: - PubMed
    1. Georgescu D., Multescu R., Geavlete B., Geavlete P. Intraoperative complications after 8150 semirigid ureteroscopies for ureteral lithiasis: risk analysis and management. Chirurgia (Bucur) 2014;109(3):369–374. - PubMed
    1. Shilo Y., Pichamuthu J.E., Averch T.D., Vorp D.A. First prize: evaluation of the tensile strength of the human ureter—preliminary results. J Endourol. 2014 Oct 24;28(12):1470–1473. Available from: - PubMed
    1. Sevinc C., Balaban M., Ozkaptan O., Yucetas U., Karadeniz T. The management of total avulsion of the ureter from both ends: our experience and literature review. Arch iIaliano di Urol Androl. 2016 Jul;88(2):97–100. - PubMed
    1. Grzegółkowski P., Lemiński A., Słojewski M. Extended Boari-flap technique as a reconstruction method of total ureteric avulsion. Cent Eur J Urol. 2017 Jun 30;70(2) https://www.ncbi.nlm.nih.gov/pubmed/28721288 2017/03/15. 188–91. Available from: - PMC - PubMed

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