Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2018 May 16:19:50-51.
doi: 10.1016/j.eucr.2018.04.010. eCollection 2018 Jul.

Delayed diagnosis of isolated ureteral injury from blunt trauma

Affiliations
Case Reports

Delayed diagnosis of isolated ureteral injury from blunt trauma

Angela M Arlen et al. Urol Case Rep. .
No abstract available

Keywords: Blunt trauma; Ureter.

PubMed Disclaimer

Figures

Fig. 1
Fig. 1
CT scan at initial presentation revealed a fracture of anterior superior left L3 vertebral body (arrow) (A). Retrograde pyelogram performed 10 days later, which demonstrated abrupt termination of contrast at the L3 level (arrow) (B). Antegrade nephrostrogram revealed complete obstruction just inferior to the ureteropelvic junction (arrow) (C).
Fig. 2
Fig. 2
Intraoperative image of the left ureter (encircled with vessel loop), densely adhered to the spine at the level of the L3 fracture (arrow). The proximal ureter was re-anastomosed to the renal pelvis in a tension free manor.
Fig. 3
Fig. 3
Retroperitoneal ultrasound 4 weeks following double J stent removal demonstrated trace pelviectasis (arrow).

References

    1. Moore E.E., Cogbill T.H., Jurkovich G.J. Organ injury scaling. III: chest wall, abdominal vascular, ureter, bladder, and urethra. J Trauma. 1992;33:337–339. - PubMed
    1. Brandes S., Coburn M., Armenakas N., McAninch J. Diagnosis and management of ureteric injury: an evidence-based analysis. BJU Int. 2004;94:277–289. - PubMed
    1. Bryk D.J., Zhao L.C. Guideline of guidelines: a review of urological trauma guidelines. BJU Int. 2016;117:226–234. - PubMed
    1. Phillips B., Holzmer S., Turco L. Trauma to the bladder and ureter: a review of diagnosis, management, and prognosis. Eur J Trauma Emerg Surg. 2017;43:763–773. - PubMed

Publication types

LinkOut - more resources