Miernik A, Halscheid C, Frankenschmidt A
Department of Urology and Pediatric Urology, University of Freiburg, Freiburg, Germany. arkadiusz.miernik @ uniklinik-freiburg.de
Urol Int. 2011;87(3):372-4. doi: 10.1159/000329829. Epub 2011 Aug 3.
A 72-year-old woman sustained a ureteric avulsion following circulatory collapse at home. Urosonographic imaging revealed hydronephrosis at the left kidney, and abdominal emergency computed tomography showed some fluid around it. Left retrograde pyelography proved ureteral disruption at the level of the ureteropelvic junction (UPJ). Immediate open surgery was performed to restore ureteropelvic continuity. Correct and early diagnosis of UPJ transsection is difficult under emergency service conditions and lack of symptoms. With the rapid increase in the aging population, the presence of degenerative exostoses will increase, and its exclusive pathomechanism and pattern of injury might be seen more frequently in emergency care. Trauma specialists should be aware of this pathology.
一名72岁女性在家中循环衰竭后发生输尿管撕脱伤。超声检查显示左肾积水，腹部急诊计算机断层扫描显示其周围有一些积液。左侧逆行肾盂造影证实输尿管肾盂交界处（UPJ）水平的输尿管中断。立即进行开放手术以恢复输尿管肾盂连续性。在急诊情况下且缺乏症状时，准确早期诊断UPJ横断伤很困难。随着老龄人口迅速增加，退行性外生骨疣的出现将会增多，其独特的发病机制和损伤模式可能在急诊中更频繁地见到。创伤专科医生应了解这种病理情况。
