Ureteral Avulsion During Retrograde Intrarenal Surgery: When the Unexpected Happens.

Q4 Medicine Journal of Endourology Case Reports Pub Date : 2020-09-17 eCollection Date: 2020-01-01 DOI:10.1089/cren.2020.0006
David Denis, Sergio Moreno, Alfredo Velasco, José A Salvadó
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Abstract

We report the case of a 49-year-old woman affected by bilateral urinary stones. Bilateral semirigid ureteroscopy was performed followed on the left side by a flexible ureteroscopy, caused by localization of the stone. Unfortunately, disinsertion of the left ureter occurred during the intervention. Open conversion was performed in the same single procedure for left ureteral reimplant. After an easy recovery, the patient was rehospitalized on day 9 postintervention for left pyelonephritis. This case report discusses the management of this rare but serious complication, including the necessity for quick thinking and decision making.

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逆行肾内手术中的输尿管撕脱:当意外发生时
我们报告了一例双侧泌尿系统结石的 49 岁女性病例。双侧半硬性输尿管镜检查后,左侧输尿管因结石定位而进行了软性输尿管镜检查。不幸的是,左侧输尿管在手术过程中脱出。在同一次手术中进行了左侧输尿管再植的开放转换。在轻松康复后,患者在介入术后第 9 天因左肾盂肾炎再次住院。本病例报告讨论了这种罕见但严重并发症的处理方法,包括快速思考和决策的必要性。
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