Right ureteric injury from penetrating trauma

Case contributed by Dr Henry Knipe


Two weeks post trauma laparotomy for stabbing.

Patient Data

Age: 40 years
Gender: Male

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.

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Case information

rID: 38834
Case created: 6th Aug 2015
Last edited: 2nd Oct 2017
Inclusion in quiz mode: Included

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