Tada K, Yamaha M, Tamura M, Fujihiro S
Department of Urology, Hamamatsu Red Cross Hospital.
Hinyokika Kiyo. 1989 Sep;35(9):1581-4.
A 7-year-old boy who had been in a traffic accident was hospitalized in Hamamatsu Red Cross Hospital with diagnosis of head abrasion, contusion of abdomen and multiple fractures. On the 17th day of hospitalization, he complained of left flank pain and high fever. Examinations by IVP and enhanced computed tomographic scan revealed a left ureter avulsed at the level of uretero-pelvic junction. Operative reconstruction by end-to-end anastomosis of the ureter was performed immediately. The function of left ureter was recovered 4 months after operation. This rare case of ureteral avulsion is briefly discussed along with a review of the recent literature.
一名7岁男孩因交通事故入院,在滨松红十字医院接受治疗,诊断为头部擦伤、腹部挫伤和多处骨折。住院第17天,他诉说左侧胁腹疼痛并伴有高热。静脉肾盂造影(IVP)和增强计算机断层扫描检查显示左输尿管在肾盂输尿管连接处水平撕脱。立即进行了输尿管端端吻合的手术重建。术后4个月左输尿管功能恢复。本文结合近期文献回顾,对这种罕见的输尿管撕脱病例进行了简要讨论。