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Case of flank pain from ureteral injury after lumbar laminectomy
  1. Daanesh Huned,
  2. Arjunan Kumaran,
  3. Lui Shiong Lee and
  4. Raj Vikesh Tiwari
  1. Urology, Sengkang General Hospital, Singapore
  1. Correspondence to Dr Daanesh Huned; daaneshhuned.hassanbhai{at}


We present a case of an iatrogenic complete left proximal ureteric injury after a lumbar 1 laminectomy and intradural tumour excision and lumbar 4/5 transforaminal lumbar interbody fusion. Initial management included a percutaneous nephrostomy for urinary diversion followed by definitive urinary reconstruction with an ileal ureter.

  • orthopaedics
  • urology

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  • Contributors DH: main author involved in writing the case report and also managing the patient. AK: second author, assisted in editing and obtaining images required for the writing of the case report. LSL and RVT: consultants involved in the management of the patient and were the main surgeons; also supervised in the writing the case report.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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