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Int. braz. j. urol ; 42(1): 160-164, Jan.-Feb. 2016. tab, graf
Artículo en Inglés | LILACS | ID: lil-777322

RESUMEN

ABSTRACT Introduction Complete ureteral avulsion is one of the most serious complications of ureteroscopy. The aim of this report was to look for a good solution to full-length complete ureteral avulsion. Case presentation A 40-year-old man underwent ureteroscopic management. Full-length complete avulsion of ureter occurred during ureteroscopy. Pyeloureterostomy plus greater omentum investment outside the avulsed ureter and ureterovesical anastomosis were performed 6 hours after ureteral avulsion. The patient was followed-up during 34 months. Double-J tube was removed at 3 months after operation. Twenty three months after the first operation, the patient developed hydronephrosis because of a new ureter upside stone, then rigid ureteroscopy and holmium laser lithotripsy were used successfully. Conclusion Pyeloureterostomy plus greater omentum investment outside the avulsed ureter and ureterovesical anastomosis may be a good choice for full-length complete ureteral avulsion.


Asunto(s)
Humanos , Masculino , Adulto , Uréter/lesiones , Enfermedades Ureterales/cirugía , Enfermedades Ureterales/etiología , Ureterostomía/métodos , Ureteroscopía/efectos adversos , Epiplón/cirugía , Anastomosis Quirúrgica , Resultado del Tratamiento , Manejo de la Enfermedad , Urolitiasis/cirugía , Hidronefrosis/cirugía
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