Kidney auto-transplantation due to upper and middle ureter defect after ureteroscopy injury

Abstract

Introduction. Surgery complications during and after ureteroscopic procedures are rare, mostly temporary and require no special additional procedures. However, major complications, nevertheless their small incidence (less than 1–2%), can be very serious and they include ureter perforation and avulsion. Case report. We represented a patient with complicated ureter iatrogenic stenosis developed after ureteroscopic procedure of stone removal. After several hospitalizations, septic condition with retroperitoneal abscess and an attempt of endoscopic and open surgical solution, the kidney auto-transplantation was successfully done. Conclusion. There are a small number of complications with ureteroscopic procedures, but when ureter avulsion or perforation occurs, and when the mission is to preserve pair organs, kidney auto-transplantation has the advantage over other methods of ureter reconstruction.

Keywords

• ureteroscopy
• iatrogenic disease
• ureteral obstruction
• kidney
• transplantation, autologous
• treatment outcome