TY - JOUR
T1 - Delayed diagnosis of ureteral injury following penetrating abdominal trauma
T2 - A case report and review of the literature
AU - Taqi, Kadhim M.
AU - Nassr, Manar Mohammed
AU - Al Jufaili, Jihad Salim
AU - Abu-Qasida, Alla Ibrahim
AU - Mathew, Joseph
AU - Al-Qadhi, Hani
N1 - Publisher Copyright:
© Am J Case Rep, 2017.
PY - 2017/12/23
Y1 - 2017/12/23
N2 - Objective: Mistake in diagnosis Background: Ureteral injuries are considered to be uncommon in cases of trauma. The possibility of damage to the ureters may not be considered in the setting of acute trauma when life-threatening injuries take clinical management priority. A case of acute ureteral injury is described in a patient with acute penetrating gunshot abdominal injury that had a delay in diagnosis, with a review of the literature. Case Report: A29-year-old woman presented to our hospital with a missed ureteral injury following a self-inflicted gunshot injury to the abdomen. She underwent abdominal computed tomography (CT) imaging and a retrograde pyelogram, which showed complete transection of the left upper ureter with contrast extravasation and the formation of a large urinoma. She underwent a percutaneous nephrostomy and drainage of the urinoma. An end-to-end ureteric anastomosis with excision of the intervening injured ureter, or ureteroureterostomy, was performed three weeks following the diagnosis. Conclusions: Ureteral injuries following trauma are rare, but a delay in diagnosis can be associated with clinical morbidity. A high index of clinical suspicion is important for early identification of ureteral injury in cases of acute abdominal trauma.
AB - Objective: Mistake in diagnosis Background: Ureteral injuries are considered to be uncommon in cases of trauma. The possibility of damage to the ureters may not be considered in the setting of acute trauma when life-threatening injuries take clinical management priority. A case of acute ureteral injury is described in a patient with acute penetrating gunshot abdominal injury that had a delay in diagnosis, with a review of the literature. Case Report: A29-year-old woman presented to our hospital with a missed ureteral injury following a self-inflicted gunshot injury to the abdomen. She underwent abdominal computed tomography (CT) imaging and a retrograde pyelogram, which showed complete transection of the left upper ureter with contrast extravasation and the formation of a large urinoma. She underwent a percutaneous nephrostomy and drainage of the urinoma. An end-to-end ureteric anastomosis with excision of the intervening injured ureter, or ureteroureterostomy, was performed three weeks following the diagnosis. Conclusions: Ureteral injuries following trauma are rare, but a delay in diagnosis can be associated with clinical morbidity. A high index of clinical suspicion is important for early identification of ureteral injury in cases of acute abdominal trauma.
KW - Abdominal injuries
KW - Ureter
KW - Wounds, gunshot
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U2 - 10.12659/AJCR.905702
DO - 10.12659/AJCR.905702
M3 - Article
C2 - 29273706
AN - SCOPUS:85039791925
SN - 1941-5923
VL - 18
SP - 1377
EP - 1381
JO - American Journal of Case Reports
JF - American Journal of Case Reports
ER -