Case report of ureteric transection of lower moiety in high-speed road traffic collision. Issue 9 (30th September 2021)

• Record Type: Journal Article
• Authors: McCorgray, Carol-Ann; Ragupathy, Senthil; Beaumont, Alexander; El Mokadem, Ismail; Khadhouri, Sinan; Athanasiadis, Grigorios
• Is Part Of: Journal of surgical case reports. Volume 2021:Issue 9(2021)
• Publication Date: 2021-09-30
• Subjects: Surgery -- Periodicals; Surgery -- Case studies -- Periodicals; 617.005
• DOI: 10.1093/jscr/rjab417
• Languages: English
• ISSNs: 2042-8812

Abstract

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.