Journal of Trauma and Injury

  • 제25권4호
  • /
  • Pages.291-295
  • /
  • 2012
  • /
  • 2799-4317(pISSN)
  • /
  • 2287-1683(eISSN)
대한외상학회 (The Korean Society of Traumatology)
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둔상에 의한 요관 손상 1례

Ureteral Injury Caused By Blunt Trauma: A Case Report

  • 권오상 (을지대학교 의과대학 외과학교실) ;
  • 문윤수 (을지대학교 의과대학 외과학교실) ;
  • 우승효 (을지대학교 의과대학 비뇨기과학교실) ;
  • 한현영 (을지대학교 의과대학 영상의학교실) ;
  • 황정주 (을지대학교 의과대학 흉부외과학교실) ;
  • 이장영 (을지대학교 의과대학 응급의학교실) ;
  • 이민구 (을지대학교 의과대학 외과학교실)
  • Kwon, Oh Sang (Department of Surgery, Eulji University Hospital) ;
  • Mun, Yun Su (Department of Surgery, Eulji University Hospital) ;
  • Woo, Seung Hwo (Department of Urology, Eulji University Hospital) ;
  • Han, Hyun Young (Department of Radiology, Eulji University Hospital) ;
  • Hwang, Jung Joo (Department of Thoracic Surgery, Eulji University Hospital) ;
  • Lee, Jang Young (Department of Emergency Medicine, Eulji University Hospital) ;
  • Lee, Min Koo (Department of Surgery, Eulji University Hospital)
  • 투고 : 2012.11.22
  • 심사 : 2012.12.04
  • 발행 : 2012.12.31
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초록

Ureteral trauma is rare, accounting for less than 1% of all urologic traumas. However, a missed ureteral injury can result in significant morbidity and mortality. The purpose of this case presentation is to suggest another method for early detection of ureteral injury in blunt traumatic patient. A 47-years-old man was injured in pedestrian traffic accident. He undergone 3-phase abdominal CT initially and had had a short-term follow-up simple. We suspected ureteral injury. Our final diagnosis of a ureteral injury was based on follow-up and antegrade pyeloureterography, he underwent emergency surgery. We detected the ureteral injury early and took a definitive action within 24 hours. In blunt trauma, if abnormal fluid collection in the perirenal retroperitoneal space is detect, the presence of a ureteral injury should be suspected, so a short-term simple X-ray or abdominal CT, within a few hours after initial abdominal CT, may be useful.

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