J Korean Soc Traumatol.
2012 Dec;25(4):291-295.
Ureteral Injury Caused By Blunt Trauma: A Case Report
- Affiliations
-
- 1Department of Surgery, Eulji University Hospital, Daejeon, Korea. mklee@eulji.ac.kr
- 2Department of Urology, Eulji University Hospital, Daejeon, Korea.
- 3Department of Radiology, Eulji University Hospital, Daejeon, Korea.
- 4Department of Thoracic Surgery, Eulji University Hospital, Daejeon, Korea.
- 5Department of Emergency Medicine, Eulji University Hospital, Daejeon, Korea.
Abstract
- Ureteral trauma is rare, accounting for less than 1% of all urologic traumas. However, a missed ureteral injury can result in significant morbidity and mortality. The purpose of this case presentation is to suggest another method for early detection of ureteral injury in blunt traumatic patient. A 47-years-old man was injured in pedestrian traffic accident. He undergone 3-phase abdominal CT initially and had had a short-term follow-up simple. We suspected ureteral injury. Our final diagnosis of a ureteral injury was based on follow-up and antegrade pyeloureterography, he underwent emergency surgery. We detected the ureteral injury early and took a definitive action within 24 hours. In blunt trauma, if abnormal fluid collection in the perirenal retroperitoneal space is detect, the presence of a ureteral injury should be suspected, so a short-term simple X-ray or abdominal CT, within a few hours after initial abdominal CT, may be useful.
