A rare cause of ureteral injuries; simultaneous common iliac artery and ureter injury during posterior lumbar disc surgery.
Major vascular injuries during lumbar disc surgery are rare but well-recognized complications. However, vascular injuries of the branches of the aorta and ureteral injuries are very rare. Although its incidence is not known definitely, it is estimated to be 1/1000. Ureteral injuries comprise less than 1% of all genitourinary traumas. In this article, we report clinical progress of a patient who had simultaneous internal iliac artery and ureteral injury during lumbar discectomy. The patient was managed with primary ureteroureterostomy. To our knowledge, this is the first case reported with simultaneous ureter and iliac artery trauma during lumbar disc surgery.
Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey.
Aykut
A
Başer
Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey.
Okan
O
Alkış
Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey.
Cihan
C
Toktaş
Department of Urology, Pamukkale University School of Medicine, Denizli, Turkey.
Ali Ersin
AE
Zümrütbaş
Iliac artery injury; posterior lumbar disc surgery; ureteral injury