Presentation
Post emergency cesarean section with high output intraperitoneal tube drainage. The C-section is preceded by 5 trials of vacuum delivery.
Patient Data
Contrast leakage and spillage is seen in the left side of pelvis in the region of lower third left ureter denoting a left ureteric injury.
Post repair of left ureteric injury with ureteric catheter seen in place.
Case Discussion
Ureteral injuries are known complication of gynecologic surgery. It is a common cause of medicolegal problems.
Ureteric injury post-gynecological procedure needs a high index of suspicion. Delay in diagnosis or inappropriate treatment lead to serious immediate and delayed complications.
A strong clinical suspicion is needed in order that the correct imaging investigation is undertaken - traditional or CT-IVU being the modalities of choice.
The case is courtesy of Dr/ AbdulWahab Saleh Urology Consultant, RCMC