Complete ureteral necrosis after injury sustained during lumbar disc surgery: A case report. Issue 33 (14th August 2020)

• Record Type: Journal Article
• Authors: Fuquan, Jiang; Gang, Zhang; Jianlin, Xiao; Yin, Ruofeng
• Other Names: Saranathan. Maya section editor.
• Is Part Of: Medicine. Volume 99:Issue 33(2020)
• Publication Date: 2020-08-14
• Subjects: lumbar disc -- ureteral injury -- ureteral necrosis; Medicine -- Periodicals; Medicine -- Periodicals; Médecine -- Périodiques; Geneeskunde; Medicine; Periodicals; Periodicals; 610.5
• DOI: 10.1097/MD.0000000000021727
• Languages: English
• ISSNs: 0025-7974

Abstract

Abstract: Introduction: Reports pertaining to ureteral injury sustained during lumbar disc surgery are rare; most ureteral injuries in this setting involve laceration or transection. Patient concerns: We report a rare case of a 55-year-old man who presented with complete left ureteral necrosis 20 days after sustaining ureteral transection during lumbar disc surgery. Diagnosis: The patient presented with seroperitoneum caused by left ureteral injury; post-operative histopathological examination of surgical specimen after discectomy had revealed ureter-like tissue. Exploratory laparoscopic surgery revealed necrosis of a long segment of ureter, which was not amenable to treatment with conventional methods. Intervention: : We used a spiral bladder muscle flap with vascular pedicles to repair the ureteral defect. Outcomes: Post-operative period was uneventful and the patient showed good recovery. Conclusion: Spiral bladder muscle flap with vascular pedicles may be used to repair extensive ureteric injury.