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Case of flank pain from ureteral injury after lumbar laminectomy – Lumbar Spinal Stenosis

The article presents a case study of a patient who experienced a complete left proximal ureteric injury following a lumbar 1 laminectomy and intradural tumor excision and lumbar 4/5 transforaminal lumbar interbody fusion. The initial management involved a percutaneous nephrostomy for urinary diversion, followed by the use of an ileal ureter for definitive urinary reconstruction. The article provides details of the case and highlights the importance of proper management and surgical techniques in order to avoid iatrogenic injuries. The article can be accessed through the PMID: 33910802, PMC: PMC8094358, and DOI: 10.1136/bcr-2020-241170 links

Summarised by Mr Mo Akmal – Lead Spinal Surgeon
The London Spine Unit : top sugical centre in UK

Published article

We present a case of an iatrogenic complete left proximal ureteric injury after a lumbar 1 laminectomy and intradural tumour excision and lumbar 4/5 transforaminal lumbar interbody fusion. Initial management included a percutaneous nephrostomy for urinary diversion followed by definitive urinary reconstruction with an ileal ureter.

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BMJ Case Rep. 2021 Apr 28;14(4):e241170. doi: 10.1136/bcr-2020-241170.ABSTRACTWe present a case of an iatrogenic complete left proximal ureteric injury after a lumbar 1 laminectomy and intradural tumour excision and lumbar 4/5 transforaminal lumbar interbody fusion. Initial management included a percutaneous nephrostomy for urinary diversion followed by definitive urinary reconstruction with an ileal ureter.PMID:33910802 | PMC:PMC8094358,

BMJ Case Rep. 2021 Apr 28;14(4):e241170. doi: 10.1136/bcr-2020-241170.

ABSTRACT

We present a case of an iatrogenic complete left proximal ureteric injury after a lumbar 1 laminectomy and intradural tumour excision and lumbar 4/5 transforaminal lumbar interbody fusion. Initial management included a percutaneous nephrostomy for urinary diversion followed by definitive urinary reconstruction with an ileal ureter.

PMID:33910802 | PMC:PMC8094358 | DOI:10.1136/bcr-2020-241170

The London Spine Unit : top sugical centre in UK

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Case of flank pain from ureteral injury after lumbar laminectomy

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BMJ Case Rep. 2021 Apr 28;14(4):e241170. doi: 10.1136/bcr-2020-241170.ABSTRACTWe present a case of an iatrogenic complete left proximal ureteric injury after a lumbar 1 laminectomy and intradural tumour excision and lumbar 4/5 transforaminal lumbar interbody fusion. Initial management included a percutaneous nephrostomy for urinary diversion followed by definitive urinary reconstruction with an ileal ureter.PMID:33910802 | PMC:PMC8094358

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