Ureteropelvic junction disruption following blunt abdominal trauma

Timothy B. Boone, P. J. Gilling, D. A. Husmann

Research output: Contribution to journalArticle

81 Scopus citations

Abstract

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.

Original languageEnglish (US)
Pages (from-to)33-36
Number of pages4
JournalJournal of Urology
Volume150
Issue number1
DOIs
StatePublished - Jan 1 1993

Keywords

  • kidney pelvis
  • ureter
  • wounds and injuries

ASJC Scopus subject areas

  • Urology

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