Bick C, Oesterwitz H, Ziegler P F
Z Urol Nephrol. 1983 Oct;76(10):647-52.
Ureteral injuries due to external blunt violence are quite rare. Less than 40% of these injuries are diagnosed in the first 24 hours. The authors described 2 cases of traumatic injuries of the lower ureter due to pelvic fractures. In both patients the injuries are caused by a bony spicule of the fractured acetabulum. If acetabular fracture occurs possible ureteral injury should be suspected and excluded by an intravenous urogram.
外部钝性暴力导致的输尿管损伤相当罕见。这些损伤中不到40%在最初24小时内得到诊断。作者描述了2例因骨盆骨折导致的下段输尿管创伤性损伤。在这两名患者中,损伤均由髋臼骨折的骨碎片引起。如果发生髋臼骨折,应怀疑可能存在输尿管损伤,并通过静脉肾盂造影予以排除。