2022 AMI Online Salon

Common sites of ureter injury during pelvic surgery

Project Details

  • Entrant Name:  Amy Kirpes
  • Client: UWorld
  • Copyright: UWorld, 2019
  • Medium/software used: Zbrush, Adobe Photoshop
  • Final presentation format: Online question bank
  • Primary Audience: Medical students

Project Description

The ureters, due to their close proximity to pelvic anatomical structures including the uterine vessels and ligaments, are at risk for injuries during gynecologic surgeries such as hysterectomy. This illustration was created to supplement clinical vignette explanations about pelvic anatomy and gynecologic surgery for medical students studying for USMLE STEP 1. The purpose of this illustration is to highlight the specific areas of the ureter most commonly injured as it crosses the cardinal ligament containing uterine vessels, the uterosacral ligament, and the infundibulopelvic ligament containing ovarian vessels. Students should be able to identify clinical symptoms of ureteral obstruction or laceration of a patient who has undergone pelvic surgery.