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CC BY-NC-ND 4.0 · Avicenna J Med 2016; 06(01): 28-30
DOI: 10.4103/2231-0770.173581
CASE REPORT

Image-guided ureteral reconstruction using rendezvous technique for complex ureteric transection after gunshot injuries

Mohammad Arabi
Department of Medical Imaging, Interventional Radiology Division, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia
,
Abdulaziz Mat’hami
Department of Medical Imaging, Interventional Radiology Division, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia
,
Mohammad T Said
Department of Urology, Prince Sultan Military Medical City, Riyadh, Kingdom of Saudi Arabia
,
Muhammad Bulbul
Department of Urology, American University of Beirut Medical Center, Beirut, Lebanon
,
Maurice Haddad
Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon
,
Aghiad Al Kutoubi
Department of Diagnostic Radiology, American University of Beirut Medical Center, Beirut, Lebanon
› Author Affiliations Financial support and sponsorship Nil.
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Abstract

Management of complex ureteric transection poses a significant clinical challenge, particularly after gunshot injuries due to marked distortion of anatomy and associated tissue loss. We report two cases of total ureteric transection due to gunshot injury successfully repaired using fluoroscopy-guided rendezvous procedure and double J stent placement. This minimally invasive approach may offer a safe and effective technique to repair complete ureteral transection and obviate the need for complex surgical procedures.

Keywords

Gunshot injuries - rendezvous - ureteral reconstruction - ureteric transection


Publication History

Article published online:
09 August 2021

© 2016. Syrian American Medical Society. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial-License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/).

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  • References

  • 1 al-Ali M, Haddad LF. The late treatment of 63 overlooked or complicated ureteral missile injuries: The promise of nephrostomy and role of autotransplantation. J Urol 1996;156:1918-21.
  • 2 de Baere T, Roche A, Lagrange C, Denys A, Court B, Isapoff J, et al. Combined percutaneous antegrade and cystoscopic retrograde approach in the treatment of distal ureteric fistulae. Cardiovasc Intervent Radiol 1995;18:349-52.
  • 3 Lang EK. Antegrade ureteral stenting for dehiscence, strictures, and fistulae. AJR Am J Roentgenol 1984;143:795-801.
  • 4 Gray RJ, Intriere L, Dolmatch BL, Edson M, Fischer J. Combined retrograde-antegrade ureteral stent passage: Salvage procedure for a ureteral leak. J Vasc Interv Radiol 1992;3:557-8.
  • 5 Liu C, Zhang X, Xue D, Liu Y, Wang P. Endoscopic realignment in the management of complete transected ureter. Int Urol Nephrol 2014;46:335-40.
  • 6 Pastore AL, Palleschi G, Silvestri L, Leto A, Autieri D, Ripoli A, et al. Endoscopic rendezvous procedure for ureteral iatrogenic detachment: Report of a case series with long-term outcomes. J Endourol 2015;29:415-20.
  • 7 Postoak D, Simon JM, Monga M, Ferral H, Thomas R. Combined percutaneous antegrade and cystoscopic retrograde ureteral stent placement: An alternative technique in cases of ureteral discontinuity. Urology 1997;50:113-6.
  • 8 Yates DR, Mehta SS, Spencer PA, Parys BT. Combined antegrade and retrograde endoscopic retroperitoneal bypass of ureteric strictures: A modification of the 'rendezvous' procedure. BJU Int 2010;105:992-7.