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多处刺伤导致的孤立性输尿管损伤:一例报告

Isolated ureteral injury from multiple stab wounds: A case report.

作者信息

Mokadem Seif, Saadi Ahmed, Chebbi Sami, Hermi Amine, Moussa Sarra, Chakroun Marouene, Slama Mohamed Riadh Ben

机构信息

University of Tunis El Manar, Faculty Of Medicine, Charles Nicolle Hospital of Tunis, Urology Department, Tunisia.

University of Tunis El Manar, Faculty Of Medicine, Charles Nicolle Hospital of Tunis, Radiology Department, Tunisia.

出版信息

Trauma Case Rep. 2023 Oct 20;48:100956. doi: 10.1016/j.tcr.2023.100956. eCollection 2023 Dec.

Abstract

This is a case report about a 44-year-old woman who sustained multiple stab wounds, resulting in an isolated right ureteral injury. Despite a precise diagnosis from an urgent CT scan showing contrast material extravasation, the patient's stable vital signs allowed for a thorough surgical exploration, leading to an accurate diagnosis. Immediate surgical repair of the right ureter using an end-to-end anastomosis following precise surgical principles achieved complete restoration of the initial injuries. The case highlights the accuracy of CT scan assessment, the unreliability of hematuria in diagnosing ureteral injuries, and the need for a high index of suspicion during surgical exploration to avoid overlooking such cases.

摘要

这是一篇关于一名44岁女性的病例报告,该女性遭受多处刺伤,导致孤立性右侧输尿管损伤。尽管紧急CT扫描显示造影剂外渗,从而做出了准确诊断,但患者稳定的生命体征使得能够进行全面的手术探查,进而得出准确诊断。按照精确的手术原则,采用端端吻合术对右侧输尿管进行即刻手术修复,使初始损伤得以完全修复。该病例突出了CT扫描评估的准确性、血尿在诊断输尿管损伤方面的不可靠性,以及手术探查时保持高度怀疑指数以避免漏诊此类病例的必要性。

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