Intraoperative ureteral trauma: a radiologic approach
Barbaric, Z.L.; Wolfe, D.E.; Segal, A.J.
Journal of the Canadian Association of Radiologists 29(1): 40-43
1978
ISSN/ISBN: 0008-2902 PMID: 305921 Document Number: 132655
Thirty-two patients with inadvertent intraoperative ureteral trauma or ligation are presented. One-third of the injuries were due to general surgical procedures such as lumbar sympathectomy, aortoiliac bypass and colectomy. Because of postoperative pain, discomfort and sedation, these injuries are frequently unrecognized for long periods. This delay in diagnosis results in significant morbidity and mortality. The usual radiologic approach is an excretory urogram supplemented if necessary by a retrograde pyelogram. Temporary percutaneous or operative nephropyelostomies have been employed in seven of these patients.