Blunt renal pelvic and ureteral injury in multiple-injured patients.
The presence of multiple severe injuries influences the management and results with blunt renal pelvic and ureteral injury. Our 9 patients had an average of 4.5 associated injuries per patient and associated renal pedicle injuries in 4 patients. The poor general condition of the multiple-injured patient precluded the optimal management of the blunt renal pelvic and ureteral injury in 5 of the 9 patients. Delayed repair was performed in 4 patients with a successful result in 3. The fourth patient had a complicated course resulting in nephrectomy. The delay in presentation and diagnosis of the renal pelvic or ureteral injury did not preclude a successful result with delayed repair.
D000293:Adolescent; D000328:Adult; D000368:Aged; D002648:Child; D005260:Female; D006417:Hematuria / Q000209:etiology; D006801:Humans; D007682:Kidney Pelvis / Q000293:injuries*; D008297:Male; D008875:Middle Aged; D013997:Time Factors; D014513:Ureter / Q000293:injuries*; D014949:Wounds, Nonpenetrating / Q000175:diagnosis* / Q000628:therapy