Total ureteric injury during ovarian cystectomy

🛑🛑 TOTAL URETERIC INJURY DURING OVARIAN CYSTECTOMY

40 yr old female presented with left large urinoma following open large ovarian cystectomy done out side hospital .

Referred to us for further management.

In emergency we did ultrasound guided drainage of urinoma and ultrasound guided supine PCN.

On evaluation entire ureter was completely damaged.

After 2 months LAP ILEAL REPLACEMENT OF ENTIRE URETER was done.

Post op day 5 nephrostogram has shown good drainage.

Pt discharged on Post op day 8.