A rare indication of robot-assisted uretero-ureterostomy: ovarian vein syndrome

• Published in: Journal of robotic surgery Vol. 13; no. 5; pp. 703 - 705
• Main Authors: Manoharan, Vignesh, Parmar, Kalpesh, Mavuduru, Ravimohan S., Rai, Tushit, Tyagi, Shantanu
• Format: Journal Article
• Language: English
• Published: London Springer London 01.10.2019; Springer Nature B.V
• Subjects: Abdomen; Adult; Case Report; Conflicts of interest; Dilatation, Pathologic - etiology; Dilatation, Pathologic - surgery; Embolization; Female; Females; Humans; Hydronephrosis; Laparoscopy; Laparoscopy - methods; Ligation - methods; Medicine; Medicine & Public Health; Minimally Invasive Surgery; Ostomy; Ovaries; Ovary - blood supply; Pain; Pregnancy; Pregnancy Complications - surgery; Robotic Surgical Procedures - methods; Robots; Surgery; Syndrome; Treatment Outcome; Ureter - surgery; Ureteral Obstruction - etiology; Ureteral Obstruction - surgery; Ureterostomy - methods; Urologic Surgical Procedures - methods; Urology; Uterus; Veins & arteries; Veins - pathology; Pregnancy; Ovarian vein syndrome; Robot assisted; Uretero-ureterostomy
• ISSN: 1863-2483; 1863-2491
• DOI: 10.1007/s11701-018-00912-z

Ovarian vein syndrome is a rare cause of ureteral obstruction. Most of these cases occur during pregnancy likely from the gravid uterus causing ovarian vein dilatation and valvular incompetence. Hormonal changes associated with pregnancy also affect the muscular wall of ureter, causing decrease in tone and may facilitate compression as well. There is a predilection for right side and in thin females. The traditional treatment has been the ligation of ovarian vein and ureterolysis. We report a case of ovarian vein syndrome in a young female which was managed by robot-assisted laparoscopic ovarian vein ligation, resection of stenosed ureteric segment and end-to-end ureterostomy.