MediAI

Introduction Iatrogenic ureteral injury is a critical complication that may arise during endourologic or pelvic procedures. While relatively uncommon, its consequences can be severe, including persistent urinary leak, infection, stricture formation, and renal impairment. This article provides a comprehensive, evidence-based review of the condition, integrating the latest insights from international literature, case analysis, and imaging findings. We will review pathophysiology, epidemiology, clinical presentation, imaging features, treatment strategies, and prognosis .  Case Presentation A 19-year-old male presented with left flank pain seven days after ureteroscopic stone removal . Initial Imaging: [Figure 1] Axial non-contrast CT : Demonstrated perinephric and retroperitoneal fluid collection of low attenuation (~8 HU). [Figure 2] Coronal non-contrast CT : Showed subtle hydronephrosis and fluid tracking along the left ureter. Follow-up Imaging: [Figure 3] 30-min del...