Case report of ureteric transection of lower moiety in high-speed road traffic collision

Carol-Ann McCorgray, Senthil Ragupathy, Alexander Beaumont, Ismail El Mokadem, Sinan Khadhouri* (Corresponding Author), Grigorios Athanasiadis

*Corresponding author for this work

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Abstract

Ureteric injuries from blunt trauma are rare in adults requiring prompt diagnosis and management. To our knowledge this is the second case report of a complete transection of the ureter due to blunt injury at the pelvi-ureteric junction in an adult. Following a high-speed road traffic collision, a 26-year-old female with bilateral duplex kidneys was admitted with complete transection of the lower moiety of her right collecting system confirmed on computed tomography Urogram. This was repaired successfully with a minimally invasive laparoscopic technique in keeping with European Association of Urology guidelines. A 3-month follow-up MAG 3 renogram indicated adequate drainage from the right kidney with no evidence of obstruction. This successful outcome demonstrates a laparoscopic repair is achievable and favourable, improving post-operative recovery and reduction of inpatient length of stay. We recommend that a laparoscopic approach should be attempted unless laparotomy is indicated for other injuries.

Original languageEnglish
Article numberrjab417
Number of pages4
JournalJournal of Surgical Case Reports
Volume2021
Issue number9
DOIs
Publication statusPublished - 30 Sep 2021

Keywords

  • surgical procedures
  • kidney
  • uretral injuries
  • pelvis

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