|
Patient Characteristics |
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| Patient No. |
Age/Gender |
Mechanism of Injury |
Hematuria Present (yes/no) |
Indications for CT Scan of the Abdomen/Pelvis |
Other Injuries |
Type of Ureteral Injury |
Admission CT Findings |
Delay in Diagnosis |
|
|
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| 1 |
63/M |
Car hit by train |
Yes |
Abdominal pain |
Right diaphragm rupture, RLQ hematoma |
Left UPJ injury |
Stranding and fluid around mid left ureter |
No |
| 2 |
32/F |
Motor vehicle collision |
Yes |
Abdominal pain |
C2 fracture, L1-5 fractures, multiple pelvic fractures, right wrist fracture |
Right UPJ injury |
Low density fluid collection around the kidney/Proximal ureter |
No |
| 3 |
55/M |
Fall from 25 ft |
Yes |
Transient hypotension |
Liver lacerations, renal lacerations, multiple rib fracture, R pneumothorax, multiple pelvic fractures, L2 fracture |
Mid right ureteral injury |
Low density fluid collection along right ureter |
No |
| 4 |
46/M |
Car struck by a train |
Yes |
Unreliable clinical examination due to intubation and sedation |
Bilateral renal lacerations, right femoral fracture |
Proximal right ureteral injury |
Mild degree of fluid and inflammatory change in perinephric fat |
No |
| 5 |
21/F |
Motor vehicle collision |
Yes |
Unreliable clinical examination due to intubation and sedation |
Right liver laceration, pancreatic contusion, pelvic fractures. L3/4 fractures |
Proximal left ureteral injury |
Fluid collection in the perinephric space |
No |
| 6 |
69/M |
Pedestrian struck by a car |
Yes |
Transient episode of hypotension |
Splenic laceration, multiple rib fractures, pelvic fracture, bilateral pneumothoraces |
Left UPJ injury |
Left perinephric hematoma |
No |
| 7 |
42/M |
Fall from 100 ft |
Yes |
Unreliable clinical examination from complete paraplegia with sensory deficit |
Comminuted L2/3 fractures |
Right UPJ injury |
Perinephric hematoma |
No |
| 8 |
56/F |
Head-on motor-vehicle collision |
No |
Unreliable clinical examination due to intubation and sedation |
Right kidney lacerations, liver and pancreatic contusion, right adrenal hematoma |
Mid right ureteral injury |
Small amount of low density fluid adjacent to the right kidney |
Yes |
Ortega et al. BMC Urology 2008 8:3 doi:10.1186/1471-2490-8-3 |
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