Endoscopic realignment of completely transected ureter leading to ureterocutaneous fistula- a case report

ABSTRACT

Ureters are retroperitoneal structures and are well protected in the abdominal cavity. Reported incidence of ureteric injuries is 0.5%-10% and iatrogenic factor is the most predominant. Ureteric discontinuity following injury has been traditionally treated by open surgery. With the advent of improved Endoscopic instruments and fiber optics it is possible to stent these lesion percutaneously or retrogradely. We describe a retrograde endoscopic approach to re-establish ureter integrity successfully in a case of fire arm injury resulting in complete transection of ureter and subsequently ureterocutaneous fistula. We illustrated usefulness of Endoscopic approach for the management of ureteric injuries as an alternative to traditional approach: