Partial ureteropelvic junction disruption after blunt trauma: case report

Area of Science:

• Urology
• Trauma Surgery
• Diagnostic Imaging

Background:

• Partial ureteropelvic junction (UPJ) disruption is an uncommon consequence of blunt abdominal trauma.
• It is frequently overlooked during initial trauma assessments, leading to diagnostic delays.

Observation:

• A 24-year-old male with multiple organ injuries from severe blunt trauma presented with hemoperitoneum and splenic rupture requiring splenectomy.
• A partial UPJ disruption was initially missed and later suspected on CT scan due to a flank mass.

Findings:

• Retrograde ureteropyelography confirmed the partial UPJ disruption.
• The condition was successfully managed conservatively with an indwelling ureteral stent.

Implications:

• Highlights the importance of a high index of suspicion for UPJ disruption in blunt trauma patients.
• Suggests that timely diagnosis and conservative management can improve patient morbidity.
• Emphasizes the need for improved diagnostic strategies and treatment protocols for this rare injury.