Traumatic ureteric rupture
Diagnosis certain
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This is a case of traumatic ureteric rupture from a high speed-speed motor vehicle accident, confirmed by ureteroscopy and intraoperative fluoroscopy. PatientThe patient was transferred to a tertiary centre for percutaneous nephrostomy and definitive urological management.
-<p>This is a case of traumatic ureteric rupture from a high speed motor vehicle accident, confirmed by ureteroscopy and intraoperative fluoroscopy. Patient was transferred to tertiary centre for percutaneous nephrostomy and definitive urological management.</p>- +<p>This is a case of traumatic ureteric rupture from a high-speed motor vehicle accident, confirmed by ureteroscopy and intraoperative fluoroscopy. The patient was transferred to a tertiary centre for <a title="Percutaneous nephrostomy" href="/articles/percutaneous-nephrostomy">percutaneous nephrostomy</a> and definitive urological management.</p>
Systems changed:
- Trauma
Updates to Study Attributes
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Initial CT at presentation
Findings
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Bilateral upper pole renal infarcts, likely due to traumatic small vessel dissection. Right sided-sided perinephric fluid and dilated proximal ureter raise concern for ureteric rupture.
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Image CT (C+ portal venous phase) ( update )
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Image CT (C+ portal venous phase) ( update )
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Non-contrast CT ~ 8 hours post initial CT. Extensive extravasation of contrast into the right perinephric space and pelvis is seen. No contrast is seen the distal right ureter. Findings are in keeping with proximal ureteric rupture.
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Non-contrast CT ~ 8 hours post initial CT
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Image CT (renal excretory phase) ( update )
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Image CT (renal excretory phase) ( update )
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Intraoperative fluoroscopy