A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium

Introduction Renal autotransplantation is considered a surgical procedure for extensive ureteral defects. Herein, we report a case of severe ureteral injury repaired by laparoscopic nephrectomy and renal autotransplantation with an iliac vein patch using bovine pericardium. Case presentation A 56‐ye...

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Main Authors: Mizuki Hisano, Tomohiko Matsuura, Junichi Koizumi, Akito Ito, Renpei Kato, Shigekatsu Maekawa, Mitsugu Kanehira, Jun Sugimura, Hajime Kin, Wataru Obara
Format: Article
Language:English
Published: Wiley 2024-03-01
Series:IJU Case Reports
Subjects:
Online Access:https://doi.org/10.1002/iju5.12691
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author Mizuki Hisano
Tomohiko Matsuura
Junichi Koizumi
Akito Ito
Renpei Kato
Shigekatsu Maekawa
Mitsugu Kanehira
Jun Sugimura
Hajime Kin
Wataru Obara
author_facet Mizuki Hisano
Tomohiko Matsuura
Junichi Koizumi
Akito Ito
Renpei Kato
Shigekatsu Maekawa
Mitsugu Kanehira
Jun Sugimura
Hajime Kin
Wataru Obara
author_sort Mizuki Hisano
collection DOAJ
description Introduction Renal autotransplantation is considered a surgical procedure for extensive ureteral defects. Herein, we report a case of severe ureteral injury repaired by laparoscopic nephrectomy and renal autotransplantation with an iliac vein patch using bovine pericardium. Case presentation A 56‐year‐old woman who had previously undergone gynecological surgery complained of right‐sided abdominal pain. She was then later diagnosed with a right middle ureteral injury with a 5‐cm long defect. We performed retroperitoneal laparoscopic nephrectomy and renal autotransplantation. As the iliac vein was fragile, venous patching using bovine pericardium was performed. The patient's renal function was well preserved after surgery. Conclusion Laparoscopic nephrectomy and renal autotransplantation is an effective method for repairing severe ureteral injury with the preservation of renal function. A venous patch using bovine pericardium might be considered as a replacement for a fragile vein.
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spelling doaj.art-c68cf4833ce349fcb88cd91dcca30d172024-03-03T09:26:39ZengWileyIJU Case Reports2577-171X2024-03-017215716010.1002/iju5.12691A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardiumMizuki Hisano0Tomohiko Matsuura1Junichi Koizumi2Akito Ito3Renpei Kato4Shigekatsu Maekawa5Mitsugu Kanehira6Jun Sugimura7Hajime Kin8Wataru Obara9Department of Urology Iwate Medical University School of Medicine Yahaba JapanDepartment of Urology Iwate Medical University School of Medicine Yahaba JapanDepartment of Cardiovascular Surgery Iwate Medical University School of Medicine Yahaba JapanDivision of Urology Iwate Prefectural Chubu Hospital Kitakami JapanDepartment of Urology Iwate Medical University School of Medicine Yahaba JapanDepartment of Urology Iwate Medical University School of Medicine Yahaba JapanDepartment of Urology Iwate Medical University School of Medicine Yahaba JapanDepartment of Urology Iwate Medical University School of Medicine Yahaba JapanDepartment of Cardiovascular Surgery Iwate Medical University School of Medicine Yahaba JapanDepartment of Urology Iwate Medical University School of Medicine Yahaba JapanIntroduction Renal autotransplantation is considered a surgical procedure for extensive ureteral defects. Herein, we report a case of severe ureteral injury repaired by laparoscopic nephrectomy and renal autotransplantation with an iliac vein patch using bovine pericardium. Case presentation A 56‐year‐old woman who had previously undergone gynecological surgery complained of right‐sided abdominal pain. She was then later diagnosed with a right middle ureteral injury with a 5‐cm long defect. We performed retroperitoneal laparoscopic nephrectomy and renal autotransplantation. As the iliac vein was fragile, venous patching using bovine pericardium was performed. The patient's renal function was well preserved after surgery. Conclusion Laparoscopic nephrectomy and renal autotransplantation is an effective method for repairing severe ureteral injury with the preservation of renal function. A venous patch using bovine pericardium might be considered as a replacement for a fragile vein.https://doi.org/10.1002/iju5.12691laparoscopic nephrectomyrenal autotransplantationvenous patch
spellingShingle Mizuki Hisano
Tomohiko Matsuura
Junichi Koizumi
Akito Ito
Renpei Kato
Shigekatsu Maekawa
Mitsugu Kanehira
Jun Sugimura
Hajime Kin
Wataru Obara
A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium
IJU Case Reports
laparoscopic nephrectomy
renal autotransplantation
venous patch
title A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium
title_full A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium
title_fullStr A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium
title_full_unstemmed A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium
title_short A case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium
title_sort case of severe ureteral injury repaired by renal autotransplantation with an iliac vein patch using bovine pericardium
topic laparoscopic nephrectomy
renal autotransplantation
venous patch
url https://doi.org/10.1002/iju5.12691
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