Related Experiment Videos
Summary
Gunshot wounds can cause ureteral contusion, a condition not well-documented. This injury may lead to delayed ureteral necrosis and urine leakage, requiring careful management.
Area of Science:
- Urology
- Trauma Surgery
Background:
- Ureteral contusion from gunshot wounds is infrequently described.
- Blast effects can cause ureteral injury, presenting as hematuria without extravasation.
Purpose of the Study:
- To describe the clinical entity of ureteral contusion secondary to gunshot wounds.
- To report outcomes of patients with gunshot-related ureteral injuries.
Main Methods:
- Retrospective review of twelve cases of ureteral contusion from gunshot wounds.
- Surgical exploration and management strategies were analyzed.
Main Results:
- Two patients had direct ureteral intervention (excision/anastomosis or nephrostomy/splint).
- Ten patients had normal ureteral appearance at exploration; 8 had no leakage, 2 developed fistulas.
Conclusions:
- Ureteral contusion from gunshot wounds can present subtly and may lead to delayed complications.
- Management varies, with some cases requiring direct intervention and others observing for delayed sequelae.