Boari-Flap reconstrution due to a total ureteral avulsion in a patient with ipslateral ureterolithiasis and contralateral renal nodule

The ureteral avulsion during ureterolithotripsy (URS) occurs due to the sudden movement of the optical device or endoscopic extractor either in its removal or insertion, associated with a probable previous lesion in the ureter wall, causing a vital fragility area. A 52-year-old male patient with, an...

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Bibliographic Details
Main Authors: Gualter Ferreira de Andrade Junior, Francisco Marcos da Silva Barroso, Roger Arthur da Cunha Alves, Jordi Gomes Marinho, Juan Eduardo Rios Rodriguez, Andre Luiz Campos Mancini
Format: Article
Language:English
Published: Elsevier 2020-05-01
Series:Urology Case Reports
Online Access:http://www.sciencedirect.com/science/article/pii/S2214442020300061
Description
Summary:The ureteral avulsion during ureterolithotripsy (URS) occurs due to the sudden movement of the optical device or endoscopic extractor either in its removal or insertion, associated with a probable previous lesion in the ureter wall, causing a vital fragility area. A 52-year-old male patient with, an obstructive calculus of 9 mm was found in the left middle ureter, and a heterogeneous hypervascular nodule located in the right kidney, suggesting neoplasia. During procedure with rigid ureteroscopy with ureteroscope removal, due to the pressure of the device and tissue fragility, there was total ureter avulsion. Keywords: Ureter, Ureteroscopy, Ureteral Obstruction, Kidney Neoplasm
ISSN:2214-4420