1 / 9

M&M Sinai Grace Hospital

M&M Sinai Grace Hospital. Brent Zamzow DO. Intra-op Consult. 54 female – “No urine output” Open cholecystectomy Normal pre-op renal function Intra-op fluids 1900cc blood loss 4L LR 2u PRBC, 2u FFP, 10 platelets Urine output = 0 Foley placed by surgery resident pre-op & irrigated.

toya
Download Presentation

M&M Sinai Grace Hospital

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript


  1. M&MSinai Grace Hospital Brent Zamzow DO

  2. Intra-op Consult • 54 female – “No urine output” • Open cholecystectomy • Normal pre-op renal function • Intra-op fluids • 1900cc blood loss • 4L LR • 2u PRBC, 2u FFP, 10 platelets • Urine output = 0 • Foley placed by surgery resident pre-op & irrigated

  3. Course of events • Foley removed & replaced • Irrigated easily • Sent to PACU • Bladder scan in PACU – 800cc • Flexible cysto in PACU

  4. Results • Anatomy • Duplicated Left Ureter • Ectopic ureter inserting into urethra • Poorly functioning left upper pole kidney • Flexible cysto • Scoped left upper pole ureter • Wire/Council catheter placed into bladder – 800cc • What happened? • Foley placed into ectopic ureter intraop

  5. Terminates bladder neck or distally More common in females (2.9:1) >80% in females associated w/ duplicated system Female Urethra 35% Vestibule 34% Vagina 25% Cervix or uterus 5% Other <1% Male Posterior urethra 60% Seminal vesicle 33% Prostatic utricle 10% Ejaculatory duct 5% Vas deferens 5% Ectopic Ureter

  6. END

More Related