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Related Experiment Videos

Violent injuries to the upper ureter

R A Evans, M J Smith

    The Journal of Trauma
    |July 1, 1976
    PubMed
    Summary
    This summary is machine-generated.

    Diagnosing upper urinary tract injuries, like renal pelvis or ureter trauma, is challenging due to subtle symptoms. Early diagnosis requires a high index of suspicion and prompt imaging, even without visible blood in urine.

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    Area of Science:

    • Urology
    • Trauma Surgery
    • Diagnostic Imaging

    Background:

    • Renal pelvis and upper ureter injuries are often missed due to associated trauma.
    • Delayed diagnosis leads to complications like sepsis and urinary ascites.

    Observation:

    • Diagnosis is difficult due to lack of hematuria and specific signs.
    • Delayed symptoms include urinary drainage, retroperitoneal mass, or ascites.

    Findings:

    • A review of 16 cases highlights the challenges in diagnosing these rare injuries.
    • The examiner's preparedness is the most critical diagnostic factor.

    Implications:

    • Infusion pyelography is recommended for patients with penetrating abdominal trauma, lumbar fractures, or deceleration/extension injuries.
  • Early imaging is crucial for timely intervention and improved patient outcomes.