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J Korean Soc Emerg Med > Volume 14(4); 2003 > Article
Journal of The Korean Society of Emergency Medicine 2003;14(4): 442-446.
Ureteric Injury Caused By Blunt Trauma
Hyun Chul Hwang, Hoon Pyo Hong, Myung Chun Kim, Young Gwan Ko
Department of Emergency Medicine, Kyung-Hee University, College of Medicine, Seoul, Korea. edkmc@chollian.net
ABSTRACT
Ureteral injuries after external violence are rare, occurring in less than 4% of penetrating traumas and 1% of blunt traumas. Most of the ureteral injuries are traumatic in origin and tend to occur as a result of shootings, or stabbings, or during various intraabdominal or retroperitoneal operations. Most are localized in the upper one third of the ureter. Ureteral injury after blunt trauma is rare and can be missed because patients often do not present hematuria. Therefore, in case of blunt trauma exhibiting flank pain, fever, abdominal distention, and leukocytosis, an abdominal CT scan and other diagnostic tools must be used. We describe a case of blunt abdominal trauma that resulted in a ureteral injury with urinoma.
Key words: Ureteral, trauma
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