Journal of Medical - Clinical Research & Reviews

Journal of Medical - Clinical Research & Reviews

Open Access
ISSN: 2639-944X
Case Report

Conservative Treatment with Double Pig Tail Placement in a Patient with an Iatrogenic Lesion of the Distal Ureter

Authors: Renzo Nervi, Wilson Pereyra, Nicanor Rodriguez, Stephanie Plaza, Gianella Romero Rojas.

DOI: 10.33425/2639-944X.1316


Abstract

Iatrogenic ureteral injury (IUI) is a potentially devastating complication of open and laparoscopic surgery of the abdominal cavity, with open hysterectomy being the procedure that most frequently leads to these injuries [1]. Treatment options for IUI include percutaneous nephrostomy in patients unsuitable for immediate surgical exploration, PIG- TAIL placement for traction injuries without ischemia, and open surgical repair of the injured ureter [2]. We present the case of a 46-year-old female patient who, after a laparoscopic hysterectomy, presented a grade 2 injury in the distal third of the right ureter, which caused chemical peritonitis due to uroperitoneum, repaired with 2 PIG - TAIL COOK FIRM, under cystoscopic and fluoroscopic guidance, leaving Jackson-Pratt drain in the abdominal cavity and a patent Foley catheter, with subsequent reoperation to remove the ureteral stent, observing good healing of the distal ureter and preserved renal function.

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Citation: Renzo Nervi, Wilson Pereyra, Nicanor Rodriguez, et al. Conservative Treatment with Double Pig Tail Placement in a Patient with an Iatrogenic Lesion of the Distal Ureter. 2023; 7(3). DOI: 10.33425/2639-944X.1316
Editor-in-Chief
Sara Badia
Sara Badia
Cardiac Surgery Department | Germans Trias University Hospital in Pujol

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