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Case Reports
. 2024 Mar 18:54:102715.
doi: 10.1016/j.eucr.2024.102715. eCollection 2024 May.

Ureteral avulsion after ureteroscopy treated with renal auto-transplantation

Riya Sanampudi  1 , Maria C Velasquez  1 , Chris E Freise  2 , Marshall L Stoller  1
Affiliations
Case Reports

Ureteral avulsion after ureteroscopy treated with renal auto-transplantation

Riya Sanampudi et al. Urol Case Rep. .

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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Figures

Fig. 1
Fig. 1
Right avulsed ureter in bladder.
Fig. 2
Fig. 2
Right retrograde pyelogram.
Fig. 3
Fig. 3
Ex vivo right kidney examination.
See this image and copyright information in PMC

References

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