case_images: PMC6342138_01
case_images: Preoperative magnetic resonance image showing spinal stenosis between L4/5, making L5 bilateral nerve root compression, which was more severe on the left side.
case_images: rru-11-015Fig1.jpg
case_images: PMC6342138_01_rru-11-015Fig1.jpg
case_images: f1-rru-11-015
case_images: L3-L4-L5 spondylolisthesis was diagnosed with magnetic resonance imaging, which revealed spinal stenosis between L4/5 making L5 bilateral nerve root compression, more severe on the left side (Figure 1).
case_images: Clipped ureter segment, length 3 cm.
case_images: rru-11-015Fig2.jpg
case_images: PMC6342138_01_rru-11-015Fig2.jpg
case_images: f2-rru-11-015
case_images: However, one 3-cm ureter segment was clipped out unexpectedly (Figure 2).
case_images: Urine extravasation from the right upper ureter demonstrated on intraoperative portal X-ray image taken 5 min after contrast medium injection.
case_images: rru-11-015Fig3.jpg
case_images: PMC6342138_01_rru-11-015Fig3.jpg
case_images: f3-rru-11-015
case_images: We confirmed urine extravasation with an intraoperative portal X-ray taken 5 min after contrast medium injection, which demonstrated that urine leaked from the right upper ureter (Figure 3).
case_images: The first stitch of end-to-end anamostosis was accomplished with laparoscopy. In total, four stitches of interrupted sutures were conducted.
case_images: rru-11-015Fig4.jpg
case_images: PMC6342138_01_rru-11-015Fig4.jpg
case_images: f4-rru-11-015
case_images: The end-to-end anastomosis was conducted with care to minimize handling of the ureter adventitia; interrupted sutures were performed meticulously with 3-0 Vicryl in four stitches (Figure 4).
case_images: Two months after anamostosis, ureter stricture (<1 cm) was revealed under ureteroscopy at the repair site.
case_images: rru-11-015Fig5.jpg
case_images: PMC6342138_01_rru-11-015Fig5.jpg
case_images: f5-rru-11-015
case_images: Ureteroscopy revealed a short segment (<1 cm) of ureter stricture at the suture site (Figure 5); therefore, this patient received long-term double-J stenting for ureter stricture.