Ureteral leak after an abdominal aortic aneurysm repair: case report |
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Authors: | Sangeeta Guttikonda Kenneth Vitellas |
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Institution: | (1) Department of Radiology, The Ohio State University Medical Center, S-211 Rhodes Hall, 450 W. 10th Avenue, Columbus, OH 43230, USA, |
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Abstract: | Iatrogenic ureteral injuries are an infrequent complication of vascular reconstructive surgery, and if they are not suspected
at the time of surgery the diagnosis is usually delayed. Diagnosing these injuries may be challenging, since patients usually
show signs and symptoms appropriate to a normal postoperative course and usually do not develop hematuria or renal dysfunction.
In the proper clinical setting, a fluid collection adjacent to the ureter on cross-sectional imaging studies should alert
the emergency radiologist to the possibility of ureteral injury. A high clinical suspicion would allow earlier diagnosis and
treatment, potentially reducing the morbidity and mortality associated with a delay in diagnosis. We present a case of a ureteral
leak diagnosed 1 week after an abdominal aortic aneurysm repair. A fluid collection seen adjacent to the ureter on contrast-enhanced
CT prompted the radiologist to obtain delayed images that demonstrated urinary extravasation.
Electronic Publication |
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Keywords: | Abdominal aortic aneurism Vascular surgery Ureteral leak |
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