Ureteric injury post total abdominal hysterectomy
Recent total abdominal hysterectomy. Urine-like fluid draining from drain tube in pre-sacral space.
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Leak of contrast from the distal right ureter is a well recognized complication of hysterectomy. It is important in this case that the ureter beyong the leak is intact albeit kinked so there is a chance that a urologist will be able to pass a wire and ureteric stent though to the renal pelvis thus avoiding the need for open intervention at least in the short term although there is always of the risk of developing a stricture at the site of ureteric injury.