case_images: PMC6350570_01
case_images: Intraoperative finding of left ureteral injury with subserosal hematoma (yellow arrow).
case_images: CRIOG2019-1920430.001.jpg
case_images: PMC6350570_01_CRIOG2019-1920430.001.jpg
case_images: fig1
case_images: Careful ureterolysis was performed bilaterally, during which the distal left ureter was found to be partially denuded, spanning 2 cm in length (Figure 1).
case_images: AmnioFix membrane wrapped around the site of left ureteral injury. AmnioFix membrane identified by yellow arrow.
case_images: CRIOG2019-1920430.002.jpg
case_images: PMC6350570_01_CRIOG2019-1920430.002.jpg
case_images: fig2
case_images: A 2 cm x 12 cm AmnioFix membrane was wrapped three times around the left ureter using laparoscopic robotic assistance (Figures 2 and 3).
case_images: Left ureter following AmnioFix membrane placement. AmnioFix membrane identified by yellow arrow.
case_images: CRIOG2019-1920430.003.jpg
case_images: PMC6350570_01_CRIOG2019-1920430.003.jpg
case_images: fig3
case_images: A 2 cm x 12 cm AmnioFix membrane was wrapped three times around the left ureter using laparoscopic robotic assistance (Figures 2 and 3).
case_images: Left retrograde pyelogram shows 1.5 cm distal ureteral stricture with mild hydroureteronephrosis.
case_images: CRIOG2019-1920430.004.jpg
case_images: PMC6350570_01_CRIOG2019-1920430.004.jpg
case_images: fig4
case_images: She underwent cystoscopy with left retrograde pyelogram demonstrating 1.5 cm distal ureteral stricture with moderate hydroureteronephrosis (Figure 4).
case_images: Mild extravasation noted on the left ureter with continued contrast injection.
case_images: CRIOG2019-1920430.005.jpg
case_images: PMC6350570_01_CRIOG2019-1920430.005.jpg
case_images: fig5
case_images: Continued contrast injection showed a small amount of extravasation from the vicinity of the narrowed ureteral segment (Figure 5).
case_images: Renal scan: initial findings show mild asymmetrical activity in the left ureter compared to the right. However, washout at 20 min is symmetrical bilaterally without any signs of obstruction.
case_images: CRIOG2019-1920430.006.jpg
case_images: PMC6350570_01_CRIOG2019-1920430.006.jpg
case_images: fig6
case_images: A Lasix renal scan was performed three months following ureteral injury which demonstrated normal perfusion and excretion by 20 minutes without signs of left ureteral obstruction (Figures 6 and 7).
case_images: Renogram findings identical for left (red) and right (green) kidney: symmetrical downward slope consistent with no signs of obstruction bilaterally.
case_images: CRIOG2019-1920430.007.jpg
case_images: PMC6350570_01_CRIOG2019-1920430.007.jpg
case_images: fig7
case_images: A Lasix renal scan was performed three months following ureteral injury which demonstrated normal perfusion and excretion by 20 minutes without signs of left ureteral obstruction (Figures 6 and 7).