Logo American Journal of Case Reports

Call: 1.631.629.4328
Mon-Fri 10 am - 2 pm EST

Contact Us

Logo American Journal of Case Reports Logo American Journal of Case Reports Logo American Journal of Case Reports

23 December 2017 : Case report  Oman

Delayed Diagnosis of Ureteral Injury Following Penetrating Abdominal Trauma: A Case Report and Review of the Literature

Mistake in diagnosis, Diagnostic / therapeutic accidents

Kadhim M. Taqi1ABCDEF*, Manar Mohammed Nassr2ADEF, Jihad Salim Al Jufaili3EF, Alla Ibrahim Abu-Qasida2EF, Joseph Mathew1E, Hani Al-Qadhi1E

DOI: 10.12659/AJCR.905702

Am J Case Rep 2017; 18:1377-1381

Abstract

BACKGROUND: Ureteral injuries are considered to be uncommon in cases of trauma. The possibility of damage to the ureters may not be considered in the setting of acute trauma when life-threatening injuries take clinical management priority. A case of acute ureteral injury is described in a patient with acute penetrating gunshot abdominal injury that had a delay in diagnosis, with a review of the literature.

CASE REPORT: A 29-year-old woman presented to our hospital with a missed ureteral injury following a self-inflicted gunshot injury to the abdomen. She underwent abdominal computed tomography (CT) imaging and a retrograde pyelogram, which showed complete transection of the left upper ureter with contrast extravasation and the formation of a large urinoma. She underwent a percutaneous nephrostomy and drainage of the urinoma. An end-to-end ureteric anastomosis with excision of the intervening injured ureter, or ureteroureterostomy, was performed three weeks following the diagnosis.

CONCLUSIONS: Ureteral injuries following trauma are rare, but a delay in diagnosis can be associated with clinical morbidity. A high index of clinical suspicion is important for early identification of ureteral injury in cases of acute abdominal trauma.

Keywords: Abdominal Injuries, Ureter, Wounds, Gunshot

Add Comment 0 Comments

In Press

Case report  Indonesia

Insights into Congenital Body Stalk Anomaly Coupled with Placenta Accreta Conditions: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.946041  

Case report  Poland

AMH and Kisspeptin Receptor Expression in Rare Hydropic Leiomyoma: A Case Study

Am J Case Rep In Press; DOI: 10.12659/AJCR.947953  

Case report  China

Fatal Acute Necrotizing Encephalopathy in a 17-Year-Old Girl with COVID-19: A Case Report

Am J Case Rep In Press; DOI: 10.12659/AJCR.946932  

Case report  Italy

Cardiac Tamponade and Pneumonitis as Indicators of Systemic Cobaltosis in Metal-on-Polyethylene Hip Implants

Am J Case Rep In Press; DOI: 10.12659/AJCR.947854  

Most Viewed Current Articles

21 Jun 2024 : Case report  China (mainland) 96,778

Intracranial Parasitic Fetus in a Living Infant: A Case Study with Surgical Intervention and Prognosis Anal...

DOI :10.12659/AJCR.944371

Am J Case Rep 2024; 25:e944371

0:00

07 Mar 2024 : Case report  USA 52,393

Neurocysticercosis Presenting as Migraine in the United States

DOI :10.12659/AJCR.943133

Am J Case Rep 2024; 25:e943133

0:00

20 Nov 2023 : Case report  Saudi Arabia 31,818

Azithromycin Treatment for Acne Vulgaris: A Case Report on the Risk of Clostridioides difficile Infection

DOI :10.12659/AJCR.941424

Am J Case Rep 2023; 24:e941424

0:00

18 Feb 2024 : Case report  Japan 23,483

A Case of Thoracic Empyema Caused by Actinomyces naeslundii

DOI :10.12659/AJCR.943030

Am J Case Rep 2024; 25:e943030

0:00

Your Privacy

We use cookies to ensure the functionality of our website, to personalize content and advertising, to provide social media features, and to analyze our traffic. If you allow us to do so, we also inform our social media, advertising and analysis partners about your use of our website, You can decise for yourself which categories you you want to deny or allow. Please note that based on your settings not all functionalities of the site are available. View our privacy policy.

American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923