Ureter trauma

Background
  • 90% of non-iatrogenic injuries occur from penetrating injury
  • Isolated ureter injury is rare

Clinical Features[1]
  • Symptoms usually nonspecific
  • Hematuria present in ~70%
  • Delayed signs of occult injury include:
  • Complications include :
    • Peritoneal or retroperitoneal urinary leakage
    • Perinephric abscess
    • Fistula formation (e.g. ureterovaginal, uterocutaneous)
    • Ureteral stricture/obstruction

Differential Diagnosis

Abdominal Trauma

Evaluation
  • Absence of hematuria does NOT rule out ureteral injury
  • If CT is nondiagnostic but high index of suspicion perform IV urography or retrograde pyelography

Management
  • Surgery

Disposition
  • Admit

See Also

References
  1. https://www.merckmanuals.com/professional/injuries-poisoning/genitourinary-tract-trauma/ureteral-trauma
This article is issued from Wikem. The text is licensed under Creative Commons - Attribution - Sharealike. Additional terms may apply for the media files.