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  #1  
Old 09-10-2011
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ObGyn Hysterectomy Ureter Injury and Arterial Ligation!

A women undergoes total abdominal hysterectomy for Cervical cancer. Post-operatively, she develops abdominal distension. On CT scan fluid collection is noted and is confirmed to be urine. A damage to ureter has occurred during ligation of which of the following arteries?

A. Internal Iliac artery
B. Superior Vesicle artery
C. Ureteric branches of renal artery
D. Ovarian artery
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  #2  
Old 09-10-2011
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The answer is C
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  #3  
Old 09-10-2011
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D.
Ovarian vessels travel in the suspensory ligament of the ovary, is a common complication during hysterectomy to ligate ureter when you are ligating this vessels.
Also not in the question when you ligate uterine artery you will also can accidentaly ligate the ureter.
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Old 09-10-2011
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Quote:
Originally Posted by evavar View Post
D.
Ovarian vessels travel in the suspensory ligament of the ovary, is a common complication during hysterectomy to ligate ureter when you are ligating this vessels.
Also not in the question when you ligate uterine artery you will also can accidentaly ligate the ureter.
So both r correct? In Kaplan anatomy n first aid it's mentioned for uterine arteries
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  #5  
Old 09-10-2011
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Kaplan Anatomy insists on Uterine Artery (C)
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Old 09-10-2011
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AA...as Ureter passses the pelvis between ext illiac art & gonadal vssld(lat) & internel iliac art(med)...
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Old 09-10-2011
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Quote:
Originally Posted by DocSikorski View Post
Kaplan Anatomy insists on Uterine Artery (C)
Uterine Artery is not the same as "C. Ureteric branches of renal artery"
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Old 09-10-2011
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Quote:
Originally Posted by Claus_CU View Post
Uterine Artery is not the same as "C. Ureteric branches of renal artery"
oooh!! i didnt pay attention, i read the answer fast! good qs good post for who posted it...should learn to read the answers carefully!
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Old 09-10-2011
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Ovarian arteries
Water under the bridge
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Quote:
Originally Posted by laurier View Post
Ovarian arteries
Water under the bridge
"Water under the bridge" => relationship between ureter & Uterine Artery

Hysterectomy Ureter Injury and Arterial Ligation!-blood-supply-uterus-vagina-ovary-uterine-tube.jpg
click image to enlarge

Last edited by prepink; 09-10-2011 at 01:11 PM. Reason: link
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  #11  
Old 09-10-2011
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Water under the bridge is definately Uterine artery.

Ovarian vessels can be also injured.

Because Uterine artery is not on answer choices, like I said before I go with ovarian artery.
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you r right evevar, it's uterine artery that is under the bridge!!!
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Old 11-16-2012
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Ok, so if there would be choice
E) uterine artery,
it would be E.

The image was helpfull, thanks.
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