[Iatrogenic injury of the lumbar ureter and iliac vessels after lumbar discectomy: urologic treatment using kidney autotransplantation].
We report a case of a patient with a secondary injury of external iliac artery and vein in the L4-L5 laminectomy and discectomy course. An immediately vein suture and ilio-iliac by-pass with Dacron was made. In the postoperative a iatrogenic lumbar ureter section was discovered and treated with renal autotransplantation. We review the options described in the literature in the management of these complex ureteral injuries.
Ríos González
E
E
Servicio de Urología, Hospital Universitario La Paz, Universidad Autónoma de Madrid.
Ramón de Fata Chillón
F
F
Tabernero Gómez
A
A
Núñez Mora
C
C
Hidalgo Togores
L
L
de la Peña Barthel
J J
JJ
D000328:Adult; D001803:Blood Transfusion; D003131:Combined Modality Therapy; D017586:Diskectomy; D005260:Female; D006406:Hematoma / Q000209:etiology / Q000601:surgery; D006801:Humans; D007049:Iatrogenic Disease; D007415:Intestinal Obstruction / Q000209:etiology; D007431:Intraoperative Complications / Q000601:surgery* / Q000628:therapy; D016030:Kidney Transplantation; D008159:Lumbar Vertebrae / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology; D011859:Radiography; D012187:Retroperitoneal Space; D014182:Transplantation, Autologous; D014513:Ureter / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014556:Urine