Antegrade ureteric embolization following transection and ligature in a lateral pelvic wall squamous cell carcinoma: Technique and literature review

Abstract

Iatrogenic injuries to the ureter are a rare event in gynecological surgery. They are often managed via stent insertion or nephrostomies. While embolization is commonly utilized for the sealing of vessels, its uses in ureter occlusion have not widely been reported. We describe a case of a 27‐year‐old patient with a previously stented ureter due to a pelvic side wall tumor causing an obstruction. She underwent a laparotomy and open biopsy. During the procedure, the ureter was injured and later ligated. The ligature slipped postoperatively with an obvious urinary leak inside the abdomen. The ureter was embolized using a nester embolization coil, histoacryl, and lipiodol. This is the first case in which this method was used for iatrogenic transection of the ureter.