Katagiri Akiyoshi, Yamazaki Hiroyuki, Matsumoto Kana
Department of Urology, Niigata Prefectural Central Hospital, Jouetsu, Niigata, Japan.
Urol Case Rep. 2020 Apr 2;31:101188. doi: 10.1016/j.eucr.2020.101188. eCollection 2020 Jul.
We experienced a rare case of ureteropelvic junction disruption (UPJD) as a seat belt injury. A 19-year-old female was transferred after a car accident while wearing a seat belt. Computed tomography showed multiple fractures including Chance fracture dislocation of the first lumbar spine and right renal laceration with partial infarction. Emergency posterior spinal fusion was performed. The next day, computed tomography revealed right perirenal contrast extravasation, and right UPJD was confirmed with retrograde urography and ureteroscopy. Ureteropelvic reanastomosis was performed. Computed tomography of excretory phase or repeat evaluation is recommended to prevent delayed diagnosis of UPJD including seat belt injury.
我们遇到了一例罕见的因安全带损伤导致的肾盂输尿管连接部断裂（UPJD）病例。一名19岁女性在佩戴安全带时遭遇车祸后被转运。计算机断层扫描显示多处骨折，包括第一腰椎的Chance骨折脱位以及右肾裂伤伴部分梗死。进行了急诊后路脊柱融合术。第二天，计算机断层扫描显示右肾周造影剂外渗，逆行尿路造影和输尿管镜检查确诊为右UPJD。实施了输尿管肾盂再吻合术。建议进行排泄期计算机断层扫描或重复评估，以防止包括安全带损伤导致的UPJD的延迟诊断。
