Ureteral injury incident to lumbar disc surgery

Case report

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✓ A case is reported in which combined vascular and ureteral injury occurred during lumbar disc surgery. The mechanism of injury is described and the importance of its early recognition emphasized.

Article Information

Address reprint requests to: Mauro P. Gangai, M.D., Dept. of the Army, Urology Service, U. S. Army Tripler General Hospital, APO San Francisco 96438.

© AANS, except where prohibited by US copyright law.

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Figures

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    Left: One-hour delayed IVP on 4th postoperative day revealing extravasation at L4–5 level. Right: Normal IVP 1 year later.

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    Drawing of the posterior view to show the level (left) and mechanism (right) of the injury.

References

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    Borski AASmith RA: Ureteral injury in lumbar-disc operation. J Neurosurg 17:9259281960Borski AA Smith RA: Ureteral injury in lumbar-disc operation. J Neurosurg 17:925–928 1960

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  • 2.

    Kern HBBarnes WMalament M: Lumbar laminectomy and associated ureteral injury. J Urol 102:6756771969Kern HB Barnes W Malament M: Lumbar laminectomy and associated ureteral injury. J Urol 102:675–677 1969

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  • 3.

    McKay HWBaird HHJustis HR: Management of ureteral injuries. JAMA 154:2022051954McKay HW Baird HH Justis HR: Management of ureteral injuries. JAMA 154:202–205 1954

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  • 4.

    Moore CACohen A: Combined arterial, venous, and ureteral injury complicating lumbar disc surgery. Amer J Surg 115:5745771968Moore CA Cohen A: Combined arterial venous and ureteral injury complicating lumbar disc surgery. Amer J Surg 115:574–577 1968

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  • 5.

    Sandoz IHodges CV: Ureteral injury incident to lumbar disk operation. J Urol 93:6876891965Sandoz I Hodges CV: Ureteral injury incident to lumbar disk operation. J Urol 93:687–689 1965

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