Kidney auto-transplantation due to upper and middle ureter defect after ureteroscopy injury

Mirko Jovanovic, Predrag Maric, Vladimir Bancevic, Radovan Milosevic, Ivica Nikolic, Dejan Simic, Aleksandar Spasic, Novak Milovic
2017 Vojnosanitetski Pregled  
Introduction. Surgery complications during and after ureteroscopic procedures are rare, mostly temporary and require no special additional procedures. However, major complications, nevertheless their small incidence (less than 1-2%), can be very serious and they include ureter perforation and avulsion. Case report. We represented a patient with complicated ureter iatrogenic stenosis developed after ureteroscopic procedure of stone removal. After several hospitalizations, septic condition with
more » ... ic condition with retroperitoneal abscess and an attempt of endoscopic and open surgical solution, the kidney auto-transplantation was successfully done. Conclusion. There are a small number of complications with ureteroscopic procedures, but when ureter avulsion or perforation occurs, and when the mission is to preserve pair organs, kidney auto-transplantation has the advantage over other methods of ureter reconstruction. Uvod. Hirurške komplikacije tokom i nakon ureteroskopskih procedura su retke, uglavnom su prolazne i ne zahtevaju posebne dodatne procedure. Međutim, velike komplikacije i pored male incidence (manje od 1-2%), mogu biti veoma ozbiljne i tu spadaju perforacija i avulzija uretera. Prikaz slučaja. U radu je prikazan bolesnik sa komplikovanom jatrogenom stenozom uretera koja se razvila nakon ureteroskopske procedure razbijanja kamena. Nakon brojnih hospitalizacija, pojave septičnog stanja sa retroperitonealnim apscesom i pokušaja endoskopskog i otvorenog hirurškog rešavanja, uspešno je urađena autotransplantacija bubrega. Zaključak. Ureteroskopske procedure imaju mali broj komplikacija, ali u slučaju avulzije ili perforacije uretera, u cilju očuvanja parnih organa, autotransplantacija bubrega je u prednosti u odnosu na druge metode rekonstrukcije uretera.
doi:10.2298/vsp150728096j fatcat:6lvwcjh6bvap7dhoash5tjgcei