Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report

Partial ureteropelvic junction disruption as a result of blunt trauma is rare and frequently missed by the initial trauma evaluation. Delays in diagnosis have also been associated with significant morbidity. A high index of suspicion should lead to appropriate investigations, and the management will...

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Main Authors: Jalal Eddine El Ammari, Youness Ahallal, Mohammed Jamal El Fassi, M. Hassan Farih
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2011/541705
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author Jalal Eddine El Ammari
Youness Ahallal
Mohammed Jamal El Fassi
M. Hassan Farih
author_facet Jalal Eddine El Ammari
Youness Ahallal
Mohammed Jamal El Fassi
M. Hassan Farih
author_sort Jalal Eddine El Ammari
collection DOAJ
description Partial ureteropelvic junction disruption as a result of blunt trauma is rare and frequently missed by the initial trauma evaluation. Delays in diagnosis have also been associated with significant morbidity. A high index of suspicion should lead to appropriate investigations, and the management will be determined by the severity of the disruption. We present herein a 24-year-old man who was admitted to the Emergency Room with multiple organ injuries caused by a severe blunt trauma. Emergency celiotomy was performed for massive hemoperitoneum and shattered spleen which led to splenectomy. The diagnosis of partial UPJ disruption was missed preoperatively and suspected in CT scan after appearance of flank tender mass. Confirmation was obtained in retrograde ureteropyelography and treated conservatively with indwelling ureteral stent. We present herein an extensive review of the literature to examine the current status of this entity and to determine if improvements could be made in the diagnosis and treatment.
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institution Kabale University
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spelling doaj-art-f4f6932874fa446baad4204af58206de2025-02-03T06:12:27ZengWileyCase Reports in Urology2090-696X2090-69782011-01-01201110.1155/2011/541705541705Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case ReportJalal Eddine El Ammari0Youness Ahallal1Mohammed Jamal El Fassi2M. Hassan Farih3Department of Urology, University Hospital Center Hassan II, Fes, MoroccoDepartment of Urology, University Hospital Center Hassan II, Fes, MoroccoDepartment of Urology, University Hospital Center Hassan II, Fes, MoroccoDepartment of Urology, University Hospital Center Hassan II, Fes, MoroccoPartial ureteropelvic junction disruption as a result of blunt trauma is rare and frequently missed by the initial trauma evaluation. Delays in diagnosis have also been associated with significant morbidity. A high index of suspicion should lead to appropriate investigations, and the management will be determined by the severity of the disruption. We present herein a 24-year-old man who was admitted to the Emergency Room with multiple organ injuries caused by a severe blunt trauma. Emergency celiotomy was performed for massive hemoperitoneum and shattered spleen which led to splenectomy. The diagnosis of partial UPJ disruption was missed preoperatively and suspected in CT scan after appearance of flank tender mass. Confirmation was obtained in retrograde ureteropyelography and treated conservatively with indwelling ureteral stent. We present herein an extensive review of the literature to examine the current status of this entity and to determine if improvements could be made in the diagnosis and treatment.http://dx.doi.org/10.1155/2011/541705
spellingShingle Jalal Eddine El Ammari
Youness Ahallal
Mohammed Jamal El Fassi
M. Hassan Farih
Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report
Case Reports in Urology
title Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report
title_full Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report
title_fullStr Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report
title_full_unstemmed Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report
title_short Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report
title_sort partial ureteropelvic junction disruption after blunt trauma case report
url http://dx.doi.org/10.1155/2011/541705
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