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Journal of Trauma and Injury 2012;25(4):291-295.
Ureteral Injury Caused By Blunt Trauma: A Case Report
Oh Sang Kwon, Yun Su Mun, Seung Hwo Woo, Hyun Young Han, Jung Joo Hwang, Jang Young Lee, Min Koo Lee
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.
둔상에 의한 요관 손상 1례
권오상1∙문윤수1∙우승효2∙한현영3∙황정주4∙이장영5∙이민구1
을지대학교 의과대학 1외과학교실, 2비뇨기과학교실, 3영상의학교실, 4흉부외과학교실, 5응급의학교실
Received: 22 November 2012   • Revised: 26 November 2012   • Accepted: 4 December 2012
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.
Key Words: Ureteral; Trauma; CT (computerized tomography); Simple X-ray


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