Hughes Justin, Bray Sheree A, Lawson Christy, Burns Bracken
Surgery, East Tennessee State University, Quillen College of Medicine, Johnson City, USA.
Cureus. 2020 Oct 1;12(10):e10755. doi: 10.7759/cureus.10755.
Ureteral injuries although rare can cause serious issues. The mechanism of injury is most commonly penetrating but in some rare cases blunt forces can contribute. It is important to diagnose ureteral injuries as soon as possible because they can have significant morbidity and mortality. Here we present two cases of isolated ureteral injury secondary to blunt force trauma. Both patients had the ureteral injury diagnosed by computed tomography (CT) scan and confirmed by a ureterogram with extravasation of contrast. Both patients also had peripelvic cyst, which could have been a contributing risk factor for injury. In both cases, the ureteral injury was repaired using a stent and both patients had no complications. We present these cases along with presentation, diagnostic work-up, and treatment.
输尿管损伤虽罕见，但可引发严重问题。损伤机制最常见为穿透性，但在某些罕见情况下钝性外力也可导致。尽早诊断输尿管损伤很重要，因为其可导致显著的发病率和死亡率。在此，我们呈现两例钝性暴力创伤继发的孤立性输尿管损伤病例。两名患者均通过计算机断层扫描（CT）诊断出输尿管损伤，并经输尿管造影证实有造影剂外渗。两名患者均有肾盂周围囊肿，这可能是损伤的一个促成风险因素。两例病例中，输尿管损伤均通过放置支架修复，且两名患者均无并发症。我们介绍这些病例及其临床表现、诊断检查和治疗方法。
