Lumbar artery branch injury secondary to ureteroscopic manipulation

Authors

  • Michael B. Rothberg Columbia University Medical Center
  • Manoj Monga Glickman Urological and Kidney Institute, The Cleveland Clinic
  • Mantu Gupta Columbia University Medical Center

DOI:

https://doi.org/10.5489/cuaj.1972

Keywords:

ureteroscopy, renal calculi, vascular injury, embolization

Abstract

Iatrogenic vascular injury in ureteroscopy is relatively uncommon and typically presents as a subcapsular hematoma. We report the case of an injury to a branch of the lumbar artery secondary to ureteral trauma during ureteroscopy. In the immediate postoperative period, the patient became hypotensive and tachycardic, prompting a workup that revealed an active hemorrhage. The patient then underwent subsequent angiogram and successful coil embolization.

Downloads

Download data is not yet available.

Author Biographies

Manoj Monga, Glickman Urological and Kidney Institute, The Cleveland Clinic

Director, Stevan B. Streem Center for Endourology & Stone Disease

Glickman Urological & Kidney Institute

The Cleveland Clinic

Cleveland, Ohio 44195

Mantu Gupta, Columbia University Medical Center

Associate Professor of Urology

Director of Endourology

Director of Kidney Stone Center

161 Fort Washington Avenue

Herbert Irving Pavilion, 11th floor

New York, New York 10032

Phone: 212-305-6784

Fax: 212-342-6870

Downloads

Published

2014-06-19

How to Cite

Rothberg, M. B., Monga, M., & Gupta, M. (2014). Lumbar artery branch injury secondary to ureteroscopic manipulation. Canadian Urological Association Journal, 8(5-6), e449–50. https://doi.org/10.5489/cuaj.1972

Issue

Section

Case Report