Delayed diagnosis of ureteral injury following penetrating abdominal trauma

A case report and review of the literature

Kadhim M. Taqi, Manar Mohammed Nassr, Jihad Salim Al Jufaili, Alla Ibrahim Abu-Qasida, Joseph Mathew, Hani Al-Qadhi

Research output: Contribution to journalArticle

Abstract

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.

Original languageEnglish
Pages (from-to)1377-1381
Number of pages5
JournalAmerican Journal of Case Reports
Volume18
DOIs
Publication statusPublished - Dec 23 2017

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Delayed Diagnosis
Wounds and Injuries
Ureter
Urinoma
N,N-dimethyl-3,3-diphenyl-1-methylallylamine
Percutaneous Nephrostomy
Abdominal Injuries
Urography
Abdomen
Drainage
Tomography
Morbidity

Keywords

  • Abdominal injuries
  • Ureter
  • Wounds, gunshot

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Delayed diagnosis of ureteral injury following penetrating abdominal trauma : A case report and review of the literature. / Taqi, Kadhim M.; Nassr, Manar Mohammed; Al Jufaili, Jihad Salim; Abu-Qasida, Alla Ibrahim; Mathew, Joseph; Al-Qadhi, Hani.

In: American Journal of Case Reports, Vol. 18, 23.12.2017, p. 1377-1381.

Research output: Contribution to journalArticle

Taqi, Kadhim M. ; Nassr, Manar Mohammed ; Al Jufaili, Jihad Salim ; Abu-Qasida, Alla Ibrahim ; Mathew, Joseph ; Al-Qadhi, Hani. / Delayed diagnosis of ureteral injury following penetrating abdominal trauma : A case report and review of the literature. In: American Journal of Case Reports. 2017 ; Vol. 18. pp. 1377-1381.
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