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Ureter Injury and Ureteral Trauma
Review literature: (Elliott and McAninch, 2003) (Elliott and McAninch, 2006).
Definition of Ureteral Injury
Ureteral injury is rare and usually caused by penetrating trauma (gunshot or stab wounds). Another rare mechanism of injury is a ureteral tearing due to deceleration trauma.
Signs and Symptoms of Ureter Injury
The symptoms of ureteral injury are usually dominated by the mechanism of injury. Additional signs of ureter trauma are abdominal pain, fever, upper urinary tract obstruction, urinoma, hematuria, peritonitis, or urine secretion via the wound.
Diagnostic Work-up in Suspected Ureteral Injury
- Abdominal and renal sonography
- Intravenous urography, or better an abdominal computed tomography
- Cystoscopy, retrograde pyelography and ureteroscopy, if endoscopic treatment is deamed possible
Treatment of Ureteral Injury
Minor ureteral injuries can be managed with endoscopic treatment (Insertion of a ureteral stent, percutaneous nephrostomy). Surgical treatment is necessary in major ureteral injury (suture repair, ureteroureterostomy, transureteroureterostomy or ureteral reimplantation) or long-segment ureteral stricture .
|Extrarenal calyces||Index||Iatrogenic injury|
Index: 1–9 A B C D E F G H I J K L M N O P Q R S T U V W X Y Z
- Elliott und McAninch 2003 ELLIOTT, S. P. ; MCANINCH, J. W.:
- Ureteral injuries from external violence: the 25-year experience at
San Francisco General Hospital.
In: J Urol
170 (2003), Nr. 4 Pt 1, S. 1213–6
- Elliott, S. P. & McAninch, J. W.
injuries: external and iatrogenic
Urol Clin North Am, 2006, 33, 55-66, vi
- Preston 2000 PRESTON, J. M.:
- Iatrogenic ureteric injury: common medicolegal pitfalls.
In: BJU Int
86 (2000), Nr. 3, S. 313–7
Deutsche Version: Traumatische und iatrogene Verletzung des Harnleiters