PMC3015570_01
The left ureter with adhered small bowel is noted just lateral to the left fallopian tube and ovary.
jsls-9-2-229-g01.jpg
PMC3015570_01_jsls-9-2-229-g01.jpg
F1
However, her left ureter followed a transperitoneal course starting at the infundibulopelvic ligament and coursing down to the bladder (Figure 1).
The left ureter has been dissected free from adhesions to the small bowel. The ureter is noted to course above the round ligament just before its insertion into the bladder. The probe has been placed through the perforation of the small bowel, just lateral to the ureter. The small band of ileum above the probe was resected with an Endo-GIA stapler (Tyco Health-care Group, Norwalk, CT).
jsls-9-2-229-g02.jpg
PMC3015570_01_jsls-9-2-229-g02.jpg
F2
The adhesions between the bowel and ureter were released, and the ureter was noted to perforate the ileum about 5 mm from the antimesenteric border of the ileum (Figure 2).