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dc.contributor.authorRajendran, Simon
dc.contributor.authorHodgnett, Philip
dc.contributor.authorO'Hanlon, Deirdre
dc.contributor.authorCurtain, Andrew
dc.contributor.authorMurphy, Micheal
dc.date.accessioned2012-02-01T10:42:39Z
dc.date.available2012-02-01T10:42:39Z
dc.date.issued2012-02-01T10:42:39Z
dc.identifier.citationGynecol Oncol. 2009 Sep;114(3):538-9. Epub 2009 May 29.en_GB
dc.identifier.issn1095-6859 (Electronic)en_GB
dc.identifier.issn0090-8258 (Linking)en_GB
dc.identifier.pmid19481789en_GB
dc.identifier.doi10.1016/j.ygyno.2009.05.021en_GB
dc.identifier.urihttp://hdl.handle.net/10147/207743
dc.description.abstractBACKGROUND: Iatrogenic trauma is the leading cause of ureteric injury with an incidence in abdominal and pelvic surgery varying between 0.4 and 2.5%. CASE: We report a case of ureteric obstruction caused by a haemostatic clip. There was associated rupture of the ureter proximal to the clip with intra-peritoneal leakage of urine. The patient was unfit for surgery and was managed by a novel procedure of endoluminal balloon deligation. CONCLUSION: Ureteric injuries are rare but potentially serious complications. They require prompt diagnosis and management depends on the patients' clinical condition, extent of injury and interval from injury to diagnosis. We have successfully demonstrated a new technique to treat ureteric obstruction caused by a haemostatic clip with associated ureteral rupture in a patient unfit for surgery.
dc.language.isoengen_GB
dc.subject.meshBalloon Dilation/*methodsen_GB
dc.subject.meshFemaleen_GB
dc.subject.meshHemostatic Techniques/adverse effectsen_GB
dc.subject.meshHumansen_GB
dc.subject.meshLaparotomy/adverse effectsen_GB
dc.subject.meshLigation/adverse effectsen_GB
dc.subject.meshMiddle Ageden_GB
dc.subject.meshMixed Tumor, Mullerian/surgeryen_GB
dc.subject.meshStentsen_GB
dc.subject.meshUreteral Obstruction/etiology/*therapyen_GB
dc.subject.meshUterine Neoplasms/surgeryen_GB
dc.titleAntegrade deligation of iatrogenic distal ureteric obstruction utilising a high pressure balloon dilatation technique.en_GB
dc.contributor.departmentDepartment of Surgery, South Infirmary Victoria University Hospital, Cork,, Ireland. simonrajendran@gmail.comen_GB
dc.identifier.journalGynecologic oncologyen_GB
dc.description.provinceMunster
html.description.abstractBACKGROUND: Iatrogenic trauma is the leading cause of ureteric injury with an incidence in abdominal and pelvic surgery varying between 0.4 and 2.5%. CASE: We report a case of ureteric obstruction caused by a haemostatic clip. There was associated rupture of the ureter proximal to the clip with intra-peritoneal leakage of urine. The patient was unfit for surgery and was managed by a novel procedure of endoluminal balloon deligation. CONCLUSION: Ureteric injuries are rare but potentially serious complications. They require prompt diagnosis and management depends on the patients' clinical condition, extent of injury and interval from injury to diagnosis. We have successfully demonstrated a new technique to treat ureteric obstruction caused by a haemostatic clip with associated ureteral rupture in a patient unfit for surgery.


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