Conservative Treatment with Double Pig Tail Placement in a Patient with an Iatrogenic Lesion of the Distal Ureter

Abstract

Iatrogenic ureteral injury (IUI) is a potentially devastating complication of open and laparoscopic surgery of the abdominal cavity, with open hysterectomy being the procedure that most frequently leads to these injuries [1]. Treatment options for IUI include percutaneous nephrostomy in patients unsuitable for immediate surgical exploration, PIG- TAIL placement for traction injuries without ischemia, and open surgical repair of the injured ureter [2]. We present the case of a 46-year-old female patient who, after a laparoscopic hysterectomy, presented a grade 2 injury in the distal third of the right ureter, which caused chemical peritonitis due to uroperitoneum, repaired with 2 PIG - TAIL COOK FIRM, under cystoscopic and fluoroscopic guidance, leaving Jackson-Pratt drain in the abdominal cavity and a patent Foley catheter, with subsequent reoperation to remove the ureteral stent, observing good healing of the distal ureter and preserved renal function.