A case of Laparoscopic ureteroureteral anastomosis for ureteral injury during laparoscopic excision of endometriosis

Miyuki Ito, Makoto Tokushige, Takuya Inoue, Yukiko Okada, Akiko Takashima, Fumiaki Taniguchi, H. Suginami, Takahito Soma, Hiroshi Okuno
In: JAPANESE JOURNAL OF GYNECOLOGIC AND OBSTETRIC ENDOSCOPY · 2010 · vol. 26(2) , pp. 397–400 · doi:10.5180/jsgoe.26.397 · W2326441656
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This case report describes successful laparoscopic ureteroureteral anastomosis using a D-J catheter to repair ureteral injury occurring during deep endometriosis excision.

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This case report describes a patient who sustained a ureteral injury during the laparoscopic excision of deep endometriosis, a known complication due to severe adhesions and anatomical displacement. The surgical team successfully repaired the defect using laparoscopic ureteroureteral anastomosis, employing an indwelling D-J catheter as a stent guide to facilitate the procedure. The authors highlight that deep infiltrating endometriosis can extend into the retroperitoneal space, increasing the risk of ureteral obstruction and iatrogenic damage during surgical intervention. This paper is centrally about endometriosis — specifically detailing a surgical complication and its repair during the laparoscopic excision of deep infiltrating lesions.

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Abstract

Deep endometriosis forms severe adhesion in the peritoneal cavity,which sometimes displaces the anatomical position of the ureter, and occasionally extends deeply into the retroperitoneal space, pressing and obstructing the ureter. Therefore, ureteral injury is an important complication that may occur during laparoscopic excision of endometriosis. We report a case of ureteral injury during laparoscopic deep endometriosis excision, which was repaired by laparoscopic ureteroureteral anastomosis using an indwelling D-J catheter as a ureteral stentguide.
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Case report A case of Laparoscopic ureteroureteral anastomosis for ureteral injury during laparoscopic excision of endometriosis 2010 Volume 26 Issue 2 Pages 397-400 Details Abstract Deep endometriosis forms severe adhesion in the peritoneal cavity,which sometimes displaces the anatomical position of the ureter, and occasionally extends deeply into the retroperitoneal space, pressing and obstructing the ureter. Therefore, ureteral injury is an important complication that may occur during laparoscopic excision of endometriosis. We report a case of ureteral injury during laparoscopic deep endometriosis excision, which was repaired by laparoscopic ureteroureteral anastomosis using an indwelling D-J catheter as a ureteral stentguide. Therefore, ureteral injury is an important complication that may occur during laparoscopic excision of endometriosis. We report a case of ureteral injury during laparoscopic deep endometriosis excision, which was repaired by laparoscopic ureteroureteral anastomosis using an indwelling D-J catheter as a ureteral stentguide. © 2010 Japan Society of Gynecologic and Obstetric Endoscopy and Minimally Invasive Therapy Favorites & Alerts Recently viewed articles

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endometriosis

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