UNIVERSITAS AIRLANGGA



Detail Article

Jurnal Urologi Universitas Airlangga

ISSN 23026480

Vol. 2 / No. 2 / Published : 2014-02

Order : 4, and page :4 - 4

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Original Article :

Ureteral injury from external trauma: missed diagnosis despite extensive initial radiologic investigation

Author :

  1. Tarmono*1
  2. Rameshdo Yuanda*2
  1. Dosen Fakultas Kedokteran
  2. Mahasiswa Fakultas Kedokteran

Abstract :

Ureteral injury from external trauma is a rare condition, comprising less than 1% of all urogenital injuries. Patient with ureteral injury generally sustains trauma with high energy, resulting in multiple associated injuries, including those injuries that is rarely happen, such as vertebral column or intestinal injury. In the majority of cases, ureteral injury was detected during exploration. But in the era of non-operative management for blunt abdominal injury, contrast-enhanced helical CT scan remains the goldstandard for the diagnosis of ureteral injury. Nevertheless, delayed or missed diagnosis is still approximately 8-20%, despite application of this modern radiologic technology. We report 1 case of ureteral injury due to blunt abdominal trauma, with multiple concomitant injury. The diagnosis of ureteral injury is missed at presentation, though complete urinary tract imaging had been done. Application of special imaging technique, for example delayed image, is recommended to detect ureteral injury more accurately in highly suspicious case.

Keyword :

ureteral injury, external trauma, contrast-enhanced CT scan,


References :

5. Armenakas NA,(1999) Current methods of diagnosis and management of ureteral injuries no data : World J Urol

4. Presti Jr JC, Carroll PR, McAninch JW,(1989) Ureteral and renal pelvic injuries from external trauma: Diagnosis and management no data : J Trauma

3. Elliott SP, McAninch JW,(2006) Ureteral Injuries: External and Iatrogenic no data : Urol Clin N Am

2. Kristyantoro B, Soebadi DM,(2009) Profil dan Penatalaksanaan Trauma Urogenital di RSU Dr. Soetomo Surabaya Tahun 2007-2009: penelitian retrospektif Surabaya : no data

1. McAninch JW, Santucci RA,(2007) Renal and Ureteral Trauma Philadelphia : Saunders Elseviers

6. Kunkle DA, Kansas BT, Pathak A, Goldberg AJ, Mydlo JH,(2006) Delayed Diagnosis of Traumatic Ureteral Injuries no data : J Urol

7. Palmer JK, Benson GS, Corriere Jr JN,(1983) Diagnosis and initial management of urological injuries associated with 200 consecutive pelvic fractures no data : J Urol

8. Kawashima A, Sandler



Archive Article

Cover Media Content

Volume : 2 / No. : 2 / Pub. : 2014-02
  1. Incidence Of Bladder Stone Revised Stone Analysis And Pathology January 2006 - December 2010 Period At Dr. Soetomo Hospital
  2. Ureteral Trauma Profile In Soetomo Hospital January 2006 – December 2011
  3. Profil Hipospadia Di Rsud Dr. Kanujoso Djatiwibowo Balikpapan Juli 2009 – Juni 2011
  4. Ureteral Injury From External Trauma: Missed Diagnosis Despite Extensive Initial Radiologic Investigation
  5. Amputasi Penis
  6. Pola Ph Urin, Leukosituria, Nitrituria Dan Kultur Urin Pada Batu Saluran Kemih Dengan Infeksi Di Smf Urologi Rsud Dr. Soetomo Pada Tahun 2013

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