Noakes J E, Wese F X, Churchill B M
J Urol. 1982 Apr;127(4):764-5. doi: 10.1016/s0022-5347(17)54032-x.
An unusual ureteral injury occurred during blunt pelvic trauma in a 6-year-old boy. Crush injury opened the sacroiliac joint, and the ureter was trapped and obstructed during realignment of the joint. Combined retrograde and anterograde pyelography accurately localized the injury and surgical repair restored renal function, despite total ureteral obstruction lasting more than 3 months. The mechanism, diagnosis and treatment of this injury are discussed. Vascular and ureteral injuries must be ruled out carefully when treating blunt renal injuries conservatively.
一名6岁男孩在骨盆钝性创伤期间发生了罕见的输尿管损伤。挤压伤导致骶髂关节开放，在关节复位过程中输尿管被困并受阻。尽管输尿管完全梗阻持续超过3个月，但逆行和顺行肾盂造影联合准确地定位了损伤，手术修复恢复了肾功能。本文讨论了这种损伤的机制、诊断和治疗。在保守治疗钝性肾损伤时，必须仔细排除血管和输尿管损伤。
