White Michael A, Kepros John P, Zuckerman Leonard J
Urologic Consortium, Michigan State University College of Osteopathic Medicine, East Lansing, Michigan 49506, USA.
Urology. 2007 Feb;69(2):384.e15-7. doi: 10.1016/j.urology.2006.11.022.
Ureteral injury secondary to blunt trauma is rare. Bilateral ureteropelvic disruptions have only been reported eight times previously. A high index of suspicion must guide the appropriate evaluation, and the severity of the disruption will determine the management options. We present the case of a 63-year-old man who had fallen from his roof and subsequently partially disrupted both ureteropelvic junctions and was treated conservatively with indwelling ureteral stents. To our knowledge, this is the first documented case of conservative management of bilateral ureteropelvic junction disruption with indwelling ureteral stents.
钝性创伤继发输尿管损伤较为罕见。双侧输尿管肾盂连接处断裂此前仅报道过8例。必须高度怀疑以指导进行恰当评估，而损伤的严重程度将决定治疗方案。我们报告一例63岁男性患者，其从屋顶跌落，随后双侧输尿管肾盂连接处均发生部分断裂，采用留置输尿管支架进行保守治疗。据我们所知，这是首例关于采用留置输尿管支架对双侧输尿管肾盂连接处断裂进行保守治疗的记录病例。
