J Korean Soc Emerg Med.  2003 Oct;14(4):442-446.

Ureteric Injury Caused By Blunt Trauma

• Hwang HC
• Hong HP
• Kim MC
• Ko YG

Abstract

Ureteral injuries after external violence are rare, occurring in less than 4% of penetrating traumas and 1% of blunt traumas. Most of the ureteral injuries are traumatic in origin and tend to occur as a result of shootings, or stabbings, or during various intraabdominal or retroperitoneal operations. Most are localized in the upper one third of the ureter. Ureteral injury after blunt trauma is rare and can be missed because patients often do not present hematuria. Therefore, in case of blunt trauma exhibiting flank pain, fever, abdominal distention, and leukocytosis, an abdominal CT scan and other diagnostic tools must be used. We describe a case of blunt abdominal trauma that resulted in a ureteral injury with urinoma.

Keyword

Ureteral; trauma

MeSH Terms

Fever
Flank Pain
Hematuria
Humans
Leukocytosis
Tomography, X-Ray Computed
Ureter*
Urinoma
Violence