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Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report
Partial ureteropelvic junction disruption as a result of blunt trauma is rare and frequently missed by the initial trauma evaluation. Delays in diagnosis have also been associated with significant morbidity. A high index of suspicion should lead to appropriate investigations, and the management will...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Hindawi Publishing Corporation
2011
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350049/ https://www.ncbi.nlm.nih.gov/pubmed/22606618 http://dx.doi.org/10.1155/2011/541705 |
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author | El Ammari, Jalal Eddine Ahallal, Youness El Fassi, Mohammed Jamal Farih, M. Hassan |
author_facet | El Ammari, Jalal Eddine Ahallal, Youness El Fassi, Mohammed Jamal Farih, M. Hassan |
author_sort | El Ammari, Jalal Eddine |
collection | PubMed |
description | Partial ureteropelvic junction disruption as a result of blunt trauma is rare and frequently missed by the initial trauma evaluation. Delays in diagnosis have also been associated with significant morbidity. A high index of suspicion should lead to appropriate investigations, and the management will be determined by the severity of the disruption. We present herein a 24-year-old man who was admitted to the Emergency Room with multiple organ injuries caused by a severe blunt trauma. Emergency celiotomy was performed for massive hemoperitoneum and shattered spleen which led to splenectomy. The diagnosis of partial UPJ disruption was missed preoperatively and suspected in CT scan after appearance of flank tender mass. Confirmation was obtained in retrograde ureteropyelography and treated conservatively with indwelling ureteral stent. We present herein an extensive review of the literature to examine the current status of this entity and to determine if improvements could be made in the diagnosis and treatment. |
format | Online Article Text |
id | pubmed-3350049 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2011 |
publisher | Hindawi Publishing Corporation |
record_format | MEDLINE/PubMed |
spelling | pubmed-33500492012-05-17 Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report El Ammari, Jalal Eddine Ahallal, Youness El Fassi, Mohammed Jamal Farih, M. Hassan Case Rep Urol Case Report Partial ureteropelvic junction disruption as a result of blunt trauma is rare and frequently missed by the initial trauma evaluation. Delays in diagnosis have also been associated with significant morbidity. A high index of suspicion should lead to appropriate investigations, and the management will be determined by the severity of the disruption. We present herein a 24-year-old man who was admitted to the Emergency Room with multiple organ injuries caused by a severe blunt trauma. Emergency celiotomy was performed for massive hemoperitoneum and shattered spleen which led to splenectomy. The diagnosis of partial UPJ disruption was missed preoperatively and suspected in CT scan after appearance of flank tender mass. Confirmation was obtained in retrograde ureteropyelography and treated conservatively with indwelling ureteral stent. We present herein an extensive review of the literature to examine the current status of this entity and to determine if improvements could be made in the diagnosis and treatment. Hindawi Publishing Corporation 2011 2011-10-05 /pmc/articles/PMC3350049/ /pubmed/22606618 http://dx.doi.org/10.1155/2011/541705 Text en Copyright © 2011 Jalal Eddine El Ammari et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Case Report El Ammari, Jalal Eddine Ahallal, Youness El Fassi, Mohammed Jamal Farih, M. Hassan Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report |
title | Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report |
title_full | Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report |
title_fullStr | Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report |
title_full_unstemmed | Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report |
title_short | Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report |
title_sort | partial ureteropelvic junction disruption after blunt trauma: case report |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3350049/ https://www.ncbi.nlm.nih.gov/pubmed/22606618 http://dx.doi.org/10.1155/2011/541705 |
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