Right ureteric injury from penetrating trauma

Case contributed by Dr Henry Knipe

Presentation

Two weeks post trauma laparotomy for stabbing.

Patient Data

Age: 40
Gender: Male
Modality: CT

Extra-luminal contrast at the midpoint of the right ureter, which tracts into the right psoas collection.

The left ureter is patchily opacified along its path. The right pelvicalyceal system is mildly dilated.

The bladder is filled with contrast. No intraperitoneal contrast leak.

Drains in the right retroperitoneum from prior percutaneous drainage of fluid collection.

Case Discussion

This demonstrates a right ureteric injury from penetrating trauma. Initially the collection in the right retroperitoneum was thought to be infected haematoma, but when percutaneous drainage was performed urine was drained. Subsequent CT confirmed the ureteric injury.

PlayAdd to Share

Case Information

rID: 38834
Case created: 6th Aug 2015
Last edited: 9th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.