Bilateral Ureteral Ligation During Hysterectomy: A Case Report

Abstract

Bilateral ureteral ligation is a complication of pelvic surgery. It can affect the functional prognosis of both kidneys and even the vital prognosis. We report the case of a 49-year-old woman, multiparous, referred from the peripheral hospital of Meknes for management of anuria in connection with a suspected ureteral lesion after hysterectomy for an infected uterine cyst. Clinically, the patient had bilateral low back pain and a fever of 38.5. On laboratory examination, she had impaired renal function and a worsening infectious work-up. The diagnosis of iatrogenic bilateral ureteral ligation was suspected. The patient underwent an initial bilateral percutaneous nephrostomy, followed by bilateral double J stent elevation after confirmation of contrast medium passage following opacification of the nephrostomies. Postoperative recovery was straightforward, with normalization of renal function and improvement in the infectious workup.