[Combined radiologic-urologic procedure for the placement of ureteral stent in a case of bilateral iatrogenic ureteral lesion].
BACKGROUND
Iatrogenic ureteral lesions are well-known complications of abdominal and pelvic surgery. A combined radiologic-urologic approach might be necessary to repair these lesions.


METHODS
A 69-year-old woman underwent bilateral hysteroannessectomy for endometrial cancer. She then became anuric. A CT scan showed multiple urinomas caused by bilateral ureteral lesions. The continuity of the two urinary tracts was restored using ureteral stents in a combined urologic and radiologic procedure.


RESULTS
The patient improved clinically and the renal function returned within normal limits.


CONCLUSIONS
The combined antegrade-retrograde approach is an effective technique to solve iatrogenic ureteral lesions.
UO Radiologia Interventistica, Policlinico Le Scotte, Siena, Italy.
Carmelo
C
Ricci
Marco
M
Cini
Claudio
C
Ceccherini
Francesco
F
Vigni
Sara
S
Leonini
Gabriele
G
Barbanti
D000368:Aged; D001002:Anuria / Q000209:etiology*; D016889:Endometrial Neoplasms / Q000601:surgery; D005260:Female; D006801:Humans; D006869:Hydronephrosis / Q000209:etiology / Q000601:surgery; D007044:Hysterectomy; D007049:Iatrogenic Disease; D007431:Intraoperative Complications / Q000601:surgery*; D008197:Lymph Node Excision; D009403:Nephrostomy, Percutaneous / Q000379:methods*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery*; D015641:Radiography, Interventional; D058994:Salpingectomy; D015607:Stents; D025321:Surgery, Computer-Assisted; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000293:injuries* / Q000601:surgery; D053584:Urinoma / Q000209:etiology / Q000601:surgery*; D013520:Urologic Surgical Procedures / Q000379:methods*