Total ureteral avulsion caused by uterine evacuation: a case report
10.3760/cma.j.cn112330-20220405-00167
- VernacularTitle:清宫术致输尿管全段撕脱伤1例报告
- Author:
Shouyi LONG
1
;
Guangjie LI
;
Xianwu SUN
;
Yiheng LI
;
Guobiao LIANG
;
Shulian CHEN
Author Information
1. 遵义医科大学附属医院泌尿外科，遵义 563000
- Keywords:
Ureteral diseases;
Uterine evacuation;
Ureteral injury;
Prevention;
Ileal ureter replacement
- From:
Chinese Journal of Urology
2023;44(2):142-143
- CountryChina
- Language:Chinese
-
Abstract:
Currently, the total ureteral avulsion are mainly secondary to ureteroscopy, and it is rarely caused by uterine evacuation clinically. This paper reported a case of total ureter avulsion after uterine evacuation, treating by ileal replacement for ureter under general anesthesia, and the surgical outcome was good. Uterine evacuation is a routine, less risky procedure, but it also can lead to serious complications such as total ureteral avulsion or bladder rupture. For potential high-risk patients with uterine evacuation, preventive measures such as accurate localization under B-ultrasound guidance or pre-operative ureteral stents indwelling are useful to avoid the occurrence of such serious complications. If total ureteral avulsion occurs, ileal replacement for ureter is a viable and effective treatment.
