Antegrade ureteric embolization following transection and ligature in a lateral pelvic wall squamous cell carcinoma: technique and literature review.
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Authors
Dyer, Jules
El-Ghobashy, Alaa
Verma, Sunenah
Issue Date
2021-07-16
Journal
Type
Article
Peer-Reviewed Publication
Peer-Reviewed Publication
Keywords
Adult
Case report
Gynaecological cancer
Gynaecological oncology
Gynaecological surgery
Laparotomy
Latrogenic injuries
Ligation
Ligature
Literature review
Nephrostomies
Peer-reviewed article
Pelvic wall
Postoperative complications
Squamous cell carcinoma
Stents
Surgery
Technical review
Transection
Ureter
Ureteral obstruction
Urogynaecology
Case report
Gynaecological cancer
Gynaecological oncology
Gynaecological surgery
Laparotomy
Latrogenic injuries
Ligation
Ligature
Literature review
Nephrostomies
Peer-reviewed article
Pelvic wall
Postoperative complications
Squamous cell carcinoma
Stents
Surgery
Technical review
Transection
Ureter
Ureteral obstruction
Urogynaecology
Journal Title
Journal of Obstetrics and Gynaecology Research
Volume
Issue
Begin page
End page
Abstract
Iatrogenic injuries to the ureter are a rare event in gynecological surgery. They are often managed via stent insertion or nephrostomies. While embolization is commonly utilized for the sealing of vessels, its uses in ureter occlusion have not widely been reported. We describe a case of a 27-year-old patient with a previously stented ureter due to a pelvic side wall tumor causing an obstruction. She underwent a laparotomy and open biopsy. During the procedure, the ureter was injured and later ligated. The ligature slipped postoperatively with an obvious urinary leak inside the abdomen. The ureter was embolized using a nester embolization coil, histoacryl, and lipiodol. This is the first case in which this method was used for iatrogenic transection of the ureter.
Citation
Elghobashy M, Verma S, Dyer J, El-Ghobashy A. Antegrade ureteric embolization following transection and ligature in a lateral pelvic wall squamous cell carcinoma: Technique and literature review. J Obstet Gynaecol Res. 2021 Jun 16. doi: 10.1111/jog.14895. Epub ahead of print. PMID: 34137129.