Chemical lumbar sympathectomy is a commonly performed procedure in vascular surgery and pain management. This case report discusses the management of a patient who suffered pelviureteric junction disruption following phenol injection for ischaemic leg pain despite radiological evidence of correct placement.
The authors suspect this is an underreported complication, which could be relevant in obtaining informed consent.
RosenJ., MillerD. L., ImparatoA. M.Percutaneous phenol sympathectomy in advanced vascular disease. American Journal of Roentgenology, 1983, 141, 597–600.
2.
SeowC. S., DoughtyJ. C. and ByrneD. S.Chemical lumbar sympathectomy revisited: survey of the current practice of vascular surgeons in Scotland. European Journal of Surgery, 2000, 166, 380–382.
3.
KuzmarovI. W., MacIsaacS. G., SioufiJ.Iatrogenic ureteral injury secondary to lumbar sympathetic ganglion blockade. Urology, 1980, 16 (6), 617–619.
4.
FraserI., WindleR., SmartJ. G.Ureteric injury following chemical sympathectomy. British Journal of Surgery, 1984, 71, 349.
5.
CuttsS., WilliamsH. T., LeeJ.Ureteric injury as a complication of chemical sympathectomy. European Journal of Vascular Endovascular Surgery, 2000, 19, 212–213.
6.
TrigauxJ. P., DecoeneB. and Van BeersB.Focal necrosis of the ureter following CT guided chemical sympathectomy. Cardiovascular and Interventional Radiology, 1992, 15, 180–182.
7.
SelzmanA. A. and SpirnakP. J.Iatrogenic ureteral injuries: a 20 year experience in treating 165 injuries. Journal of Urology, 1996, 155 (3), 878–881.