Presentation
Day 5 post hysterectomy and salpingoophrectomy. Discharged following day with no complications. Admitted with sudden onset lower abdominal pain. Raised inflammatory markers ?ureteric injury ?collection
Patient Data
There is extravasation of urine/contrast from left distal ureter, filling the peritoneal cavity as free fluid and also a adjacent small urinoma on delayed phase images.
Mild left sided hydroureteronephrosis is noted.
Urinary bladder appears normal except for small non-dependent air within.
Right ureter appears normal.
Retrograde ureterography showed contrast leak at left distal ureter with urinoma formation.
Wire passed to cross the injury and a stent was placed.
Case Discussion
Distal ureteric injuries are most often due to iatrogenic injury.
Surgical correction is required.
Ureteric stent is placed, if there is obstruction.
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