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KMID : 0360720120250040291
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Journal of the Korean Society Traumatology
2012 Volume.25 No. 4 p.291 ~ p.295
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Ureteral Injury Caused By Blunt Trauma: A Case Report
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Kwon Oh-Sang
Moon Yun-Su
Woo Seung-Hyo
Han Hyun-Young
Hwang Jung-Joo
Lee Jang-Young
Lee Min-Koo
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Abstract
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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.
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KEYWORD
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Ureteral, Trauma, CT (computerized tomography), Simple X-ray
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