Published in:
01-11-2010 | Case Report
Resolution of right ureteral lesion after subtotal hysterectomy due to benign pathology. A clinical case study
Published in: International Urogynecology Journal | Issue 11/2010
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Introduction
Ureteral lesion during gynecological surgery to correct benign uterine pathology is around 0.03-2.0%, and usually occurs at the ligature of blood vessels.
Clinical case history
At the end of 3 months, the patient does not manifest any symptoms and does exhibit a good bilateral renal function. Ureteral lesions resulting from gynecological surgery represent a medico-legal problem, which is not a negligible issue for the current healthcare system, so it is necessary to conduct a correct pre-operative and intra-operative assessment to prevent such lesions.
Discussion
We describe here the case story of a 40-year-old female patient, who, after subtotal hysterectomy for myomas, presented with acute abdominal pain, and was diagnosed with a right ureteral lesion, via CAT imaging; the patient received direct ureterovesical implantation of double J catheter, which was kept in place for 8 weeks.