L Kotkin1, J W Brock. 1. Department of Pediatric Urology, Children's Hospital, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2765, USA.
Abstract
OBJECTIVES: Ureteral injury is rare after blunt trauma. Herein is presented this unusual scenario of ureteral trauma in addition to the pathophysiology of this injury. METHODS: A 12-year-old boy sustained a rupture of the right ureter 6 cm below the ureteropelvic junction after a car accident. No other injuries or fractures were identified. RESULTS: Ureteral injury was immediately diagnosed and repaired primarily. Intravenous urography performed 8 weeks after surgery revealed normal ureteral healing without stricture formation. CONCLUSIONS: To our knowledge, the isolated avulsion of the ureter in this location has not been reported previously, but must be considered in those patients with severe blunt trauma and hyperextension injuries.
OBJECTIVES:Ureteral injury is rare after blunt trauma. Herein is presented this unusual scenario of ureteral trauma in addition to the pathophysiology of this injury. METHODS: A 12-year-old boy sustained a rupture of the right ureter 6 cm below the ureteropelvic junction after a car accident. No other injuries or fractures were identified. RESULTS:Ureteral injury was immediately diagnosed and repaired primarily. Intravenous urography performed 8 weeks after surgery revealed normal ureteral healing without stricture formation. CONCLUSIONS: To our knowledge, the isolated avulsion of the ureter in this location has not been reported previously, but must be considered in those patients with severe blunt trauma and hyperextension injuries.
Authors: Bruno M T Pereira; Michael P Ogilvie; Juan Carlos Gomez-Rodriguez; Mark L Ryan; Diego Peña; Antonio C Marttos; Louis R Pizano; Mark G McKenney Journal: Scand J Trauma Resusc Emerg Med Date: 2010-02-03 Impact factor: 2.953