An unusual complication of ischemic injury to upper pole ureter during lower pole heminephroureterectomy.
Lower pole heminephroureterectomy is a common paediatric urology procedure with few reported complications. We report a case of possible vascular ischemic injury to the normal remaining ureter following a lower pole heminephroureterectomy, probably due to both ureters sharing a common blood supply. Extra caution in such procedures is therefore warranted.
Katherine Victoria
KV
Hurst
Department of Paediatric Surgery, Birmingham Children's Hospital, Birmingham, United Kingdom.
Ashok Daya
AD
Ram
Dragan
D
Milanovic
Swe
S
Lynn
D003937:Diagnosis, Differential; D006801:Humans; D007231:Infant, Newborn; D007511:Ischemia / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D007674:Kidney Diseases / Q000151:congenital / Q000601:surgery*; D008297:Male; D009392:Nephrectomy / Q000009:adverse effects*; D011183:Postoperative Complications; D012086:Reoperation; D014513:Ureter / Q000098:blood supply*