Bilateral pelvi-ureteric rupture following blunt injury

Smedley, F.; Kerwin, R. W.; Macfarlane, David A.; Edwards, L. L.

doi:10.1016/0020-1383(86)90023-9

Cited by 4 publications

(1 citation statement)

References 5 publications

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“…Usually, the site of ureteral lesions is located at the pyeloureteral junction [1,2]. Disrupture of the ureter combined with injuries of the spine in acceleration traumas are also unusual but typical inju ries [2][3][4], On the other hand, renal parenchyma contu sions and lesions of the renal vessels are common results of blunt force affecting the abdomen and retroperitoneal organs [5], If there is no penetrating injury of the renal parenchy ma or vessels with appropriate blood loss, lesions of the ureter or renal pelvis are only accompanied by minimal clinical symptoms. Hematuria and flank pain are the first clinical signs of traumatic injury of the urine collecting system, and excretory urograms as well as CT scans of the abdomen are reliable diagnostic means.…”

Section: Introductionmentioning

confidence: 99%

Renal Pelvis Rupture after Blunt Abdominal Trauma

Gschwend

Sauter²,

Petriconi³

et al. 1995

Urol Int

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A 45-year-old male patient presented with rupture of the left renal pelvis after blunt abdominal trauma. The patient had preexisting bilateral megaureters with secondary obstruction of the pyeloureteral junction. The underlying disease was a persisting type III posterior urethral valve. Diagnosis of renal pelvis rupture and the underlying malformation was achieved sonographically and by abdominal CT scan. The left kidney was exposed at the time of admission and a pyeloplasty according to Anderson-Hynes was carried out. Secondarily the urethral valve was resected.

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Section: Introductionmentioning

confidence: 99%

Renal Pelvis Rupture after Blunt Abdominal Trauma

Gschwend

Sauter²,

Petriconi³

et al. 1995

Urol Int

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Bilateral Partial Ureteropelvic Junction Disruption After Blunt Trauma Treated with Indwelling Ureteral Stents

White

Kepros

Zuckerman

2007

Urology

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Ureteropelvic Junction Disruption Following Blunt Abdominal Trauma

1993

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Disruptions of the ureteropelvic junction following blunt abdominal trauma are rare. Our recent management of 8 cases (7 patients) revealed that an immediate diagnosis of this entity was made in less than 50% of the patients. The majority of delayed diagnoses occurred when the patients experienced absence of hematuria associated with nonresponsive hypovolemic shock. The clinical instability of the patients required emergency celiotomy for stabilization and precluded our obtaining appropriate contrast enhanced radiographic studies. Retroperitoneal findings at operation failed to reveal evidence of a perinephric hematoma. The kidneys were palpably normal and, therefore, they were not directly examined. Despite these negative retroperitoneal findings the patients sustained disruption of the ureteropelvic junction. Therefore, we stress that a negative exploratory laparotomy without direct visualization of the kidney should not exclude radiographic evaluations for retroperitoneal injuries.

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Bilateral pelvi-ureteric rupture following blunt injury

Cited by 4 publications

References 5 publications

Renal Pelvis Rupture after Blunt Abdominal Trauma

Renal Pelvis Rupture after Blunt Abdominal Trauma

Bilateral Partial Ureteropelvic Junction Disruption After Blunt Trauma Treated with Indwelling Ureteral Stents

Ureteropelvic Junction Disruption Following Blunt Abdominal Trauma

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