title: Lumbar artery branch injury secondary to ureteroscopic manipulation.
abstract: Iatrogenic vascular injury in ureteroscopy is relatively uncommon and typically presents as a subcapsular hematoma. We report the case of an injury to a branch of the lumbar artery secondary to ureteral trauma during ureteroscopy. In the immediate postoperative period, the patient became hypotensive and tachycardic, prompting a workup that revealed an active hemorrhage. The patient then underwent subsequent angiogram and successful coil embolization.
authors.affiliation: Columbia University Medical Center, New York, NY;
authors.forename: Michael B
authors.initials: MB
authors.lastname: Rothberg
authors.affiliation: Glickman Urological and Kidney Institute, The Cleveland Clinic, Cleveland, OH.
authors.forename: Manoj
authors.initials: M
authors.lastname: Monga
authors.affiliation: Columbia University Medical Center, New York, NY;
authors.forename: Mantu
authors.initials: M
authors.lastname: Gupta