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The Journal of Bone and Joint Surgery 78:772-4 (1996)
© 1996 The Journal of Bone and Joint Surgery, Inc.

Ureteral Injury Associated with Anterior Lumbosacral Arthrodesis in a Patient Who Had Crossed Renal Ectopia, Malrotation, and Fusion of the Kidneys. A Case Report*

L. F. A. WYMENGA, M.D.{dagger}, G. A. E. M. BUIJS, M.D.{ddagger}, A. F. G. V. M. YPMA, M.D.{ddagger} and D. M. WERKMAN, M.D.{ddagger}, DEVENTER, THE NETHERLANDS

Investigation performed at St. Deventer Ziekenhuizen, Deventer


   Introduction
 
The ureter is frequently injured during difficult abdominal or pelvic operations when the normal anatomy has been changed. It may also be injured when an ectopic kidney has altered the expected course of the ureter. Ureteral injury is a rare complication of operations on lumbar discs, and only a few cases of ureteral injury during lumbar laminectomy through a posterior approach have been described1.

In a search of the English-language literature, we found no case reports in which an injury of the ureter was associated with an anterior lumbosacral arthrodesis in a patient who had crossed renal ectopia with fusion and malrotation of the kidneys. We report the case of a patient who had such an injury in order to alert the reader to this rare cause of intraoperative injury of the ureter and to describe the successful treatment of this complication.


   Case Report
 
A forty-four-year-old woman who had had episodes . . . [Full Text of this Article]


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