Radiology, Vol 148, 95-100, Copyright © 1983 by Radiological Society of North America
Ureteroileal anastomotic leaks: percutaneous treatment
MA Bettmann, PD Murray, LM Perlmutt, WF Whitmore 3d and JP Richie
Interventional techniques are increasingly important in patient care. We
present new uses of these techniques in each of three patients who had
rapidly deteriorating clinical status due to an anastomotic leak following
the creation of a ureteroileal conduit. To divert urine flow and to promote
healing, large bore nephrostomy tubes were placed percutaneously. Silastic
ureteral stents were placed from above to help divert flow of urine, and to
prevent the formation of strictures. The procedures, the nephrostomy tubes,
and the stents were all well tolerated, and the clinical status of the
patients improved rapidly. These three patients left the hospital with
tubes and stents in place, and complete healing occurred without
complications in one to three months. Following removal of the nephrostomy
tubes and stents, all patients had good preservation of renal function and
normal loopograms.
