İyatrojenik parsiyel üreter ligasyonu sonrası görülen üreter taşı: Olgu sunumu
Üreter yaralanması veya bağlanması diğer üriner sistem organlarına göre nadirdir ve sıklıkla jinekolojik veya ürolojik işlemler sırasında gelişir. Üreter yaralanmaları genellikle tek taraflıdır. Bazen tek taraflı üreterin sütür ya da klips ile bağlanması, uzun zaman sonra üreter taşına sebep olabilir. Üreter bağlanması erken teşhis edilirse, böbrek kaybı gibi ciddi komplikasyonlar gelişmeden erken tedavi edilebilmektedir. Bu olguda, jinekolojik operasyon sırasında üreteri kısmi olarak bağlanan kadın hastanın, üreter ligasyonunun ve iki yıl sonra gelişen üreter taşının tedavisini sunmayı amaçladık.
A ureteral stone after iatrogenic partial ligation of ureter: A case report
urinary tract organs, and usually occur after gyne- cological and urological surgery. Ureteral injuries are usually unilateral. Sometimes unilateral urete- ral ligation with suture or clip can leads to forma- tion of ureteral stones after a long time to surgery. If the ureteral ligation is diagnosed early, it can be treated early and can not caused severe complica- tions such as renal loss. This case report was aimed to present a female case who had partial ureteral ligation after a gynecological surgery and develo- ping a ureteral stones after two years from surgery.
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- Siram SM, Gerald SZ, Greene WR, et al. Ureteral trauma: patterns and mechanisms of injury of an uncommon con- dition. Am J Surg 2010;199:566–70.
- Gilmour DT, Das S, Flowerdew G. Rates of urinary tract injury from gynecologic surgery and the role of intraope- rative cystoscopy. Obstet Gynecol 2006;107:1366-72.
- D.J. Summerton (Chair), N. Djakovic, N.D. Kitrey, et al. Guidelines on Urological Trauma. European Association of Urology Guidelines 2015.
- Selzman AA, Spirnak JP. Iatrogenic ureteral injuri- es: a 20-year experience in treating 165 injuries J Urol 1996;155:878-81.
- Delacroix SE, Winters JC. Urinary Tract Injures: Recogni- tion and Management. Clinics in Colon and Rectal Sur- gery 2010;23:104-12.
- Dwyer PL, Carey MP, Rosamilia A. Suture injury to the urinary tract in urethral suspension procedures for stress incontinence. Int Urogynecol J Pelvic Floor Dysfunct 1999;10:15-21.
- Brandes S, Coburn M, Armenakas N, McAninch J. Diag- nosis and management of ureteric injury: an evidence-ba- sed analysis. BJU Int 2004;94:277–89.
- De Cicco C, Ret Dávalos ML, Van Cleynenbreugel B, Ver- guts J, Koninckx PR. Iatrogenic ureteral lesions and repa- ir: a review for gynecologists. J Minim Invasive Gynecol 2007;14:428–35.
- Miller OF, Kane CJ. Time to Stone passage for obser- ved ureteral calculi: a guide for patient education. J Urol 1999;162:688-90.
- Payne CK. Ureteral injuries in the female: fistulas and obstruction. In: Raz S (ed). Female Urology. 2nd ed. Phila- delphia: W.B. Saunders; 1996; 507-520.
- Ghali AM, El Malik EM, Ibrahim AI, Ismail G, Rashid M. Ureteric injuries: diagnosis, management, and outcome. J Trauma 1999;46:150-58.
- Orkin LA. Travma to the bladder, ureter and kidney. In Sciarra JJ (ed). Gynecology and Obstetrics. Philedelphia: Harper and Row, Publishers 1987:Vol. 1. p.1-37.