NDLI: Ureteral injury after posterior lumbar discectomy with interbody screw fixation

Content Provider	PubMed Central
Author	Pillai, Sunil Bhaskara Hegde, Padmaraj Venkatesh, Giridhar Iyyan, Bhalaguru
Copyright Year	2013
Abstract	We report a case of iatrogenic ureteral injury secondary to L5 laminectomy and microdiscectomy with L5–S1 bone graft with posterior lumbar interbodyfusion using presacral cancellous screw fixation, managed by initial ureteral stent placement and subsequent Boari bladder flap repair. A 33-year-old woman underwent L5 laminectomy and microdiscectomy with L5–S1 bone graft with posterior lumbar interbody fusion using presacral cancellous screw fixation. On postoperative day 10, she developed lower abdominal pain, vomiting and fever. Ultrasonogram and contrast-enhanced CT demonstrated a large pelvic urinoma secondary to a right lower ureteric injury. This was managed initially by ureteral stent placement and subsequent Boari bladder flap repair. Ureteral injury following spinal surgery is a rare surgical complication with significant morbidity and mortality. A high index of suspicion is essential for early appropriate management and renal salvage.
Related Links	http://dx.doi.org/10.1136/bcr-2013-200383
Starting Page	2013200383
File Format	PDF
ISSN	1757790X
e-ISSN	1757790X
Journal	BMJ Case Reports
Volume Number	2013
Language	English
Publisher	BMJ Publishing Group
Publisher Date	2013-10-08
Access Restriction	Open
Rights Holder	BMJ Publishing Group
Subject Keyword	Research in Higher Education
Content Type	Text
Resource Type	Article
Subject	Medicine

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Ureteral injury after posterior lumbar discectomy with interbody screw fixation