Resolution of right ureteral lesion after subtotal hysterectomy due to benign pathology. A clinical case study.
BACKGROUND
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.
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.


CONCLUSIONS
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.
Arrabal-Polo
Miguel Angel
MA
Urology Department, San Cecilio University Hospital, Granada, Spain. arrabalp@ono.com
Arrabal-Martin
Miguel
M
D000328:Adult; D005260:Female; D006801:Humans; D007044:Hysterectomy / Q000379:methods*; D007431:Intraoperative Complications / Q000209:etiology*; D007889:Leiomyoma / Q000601:surgery; D014513:Ureter / Q000293:injuries*; D014594:Uterine Neoplasms / Q000601:surgery