Omar H, Fulaij AA, Felemban J, Faddagh AA, Kawai FA, Sarhan O. Iatrogenic Ureterocolic Fistula in Pediatric Age Group: A Case Report and Review of the Literature.
Urology 2023;
173:e1-e5. [PMID:
36657666 DOI:
10.1016/j.urology.2023.01.005]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/13/2022] [Revised: 12/24/2022] [Accepted: 01/02/2023] [Indexed: 01/17/2023]
Abstract
Ureteral injury is one of the major complications related to colorectal and gynecologic procedures. Injuries are sometimes identified intraoperatively, but the diagnosis of ureteral injury is often delayed. Ureterocolic fistula is a relatively rare condition and mostly due to obstructing calculi, diverticular disease of the colon, radiotherapy, cancer, or trauma. Here in, we present a boy with an iatrogenic left ureterocolic fistula following multiple colonic surgeries that were complicated by an un-noticed left ureteric injury. This injury was not diagnosed early and the patient presented later with recurrent UTIs and decreased left differential renal function which necessitated open left nephroureterectomy.
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