title: Iatrogenic ureteric injury : a real medicolegal dilemma.
abstract: BACKGROUND
  Iatrogenic ureteral injuries are not so rare and may have serious medicolegal repercussions.
  
  
  OBJECTIVE
  To report a case of iatrogenic ureteral injury, secondary to ureterolysis and treated by substitutive non-modeled ureteroileoplasty.
  
  
  METHODS
  A 70-year-old man, who presented extrinsic ureteral compression due to idiopathic retroperitoneal fibrosis, underwent ureterolysis. Peroperatively, the ureter was injured and the damage was so important that the surgeon decided and performed a substitutive non-modeled ureteroileoplasty. Immediate postoperative course was normal. Many years after, he developed hydronephrotic poor functioning kidney with multiple renal lithiasis and a large ileal tube stone. He underwent a nephroureterectomy with ileal tube excision.
  
  
  CONCLUSIONS
  Through this observation, we evaluate the operator peroperative decisions and the medicolegal consequences.
authors.affiliation: Department of Urology, La Rabta Hospital, Tunis, Tunisia.
authors.forename: Sataa
authors.initials: S
authors.lastname: Sallami
mesh_terms: D000368:Aged; D006801:Humans; D007049:Iatrogenic Disease; D007669:Kidney Calculi / Q000209:etiology / Q000601:surgery; D008297:Male; D019300:Medical Errors / Q000331:legislation & jurisprudence*; D008954:Models, Biological; D011183:Postoperative Complications / Q000601:surgery; D012185:Retroperitoneal Fibrosis / Q000150:complications / Q000601:surgery; D014513:Ureter / Q000293:injuries* / Q000601:surgery; D014517:Ureteral Obstruction / Q000209:etiology / Q000601:surgery; D018666:Ureteroscopy / Q000009:adverse effects*