Isolated ureteral injury caused by blunt trauma.
OBJECTIVE
Ureteral injury is rare after blunt trauma. Herein is presented this unusual scenario of ureteral trauma in addition to the pathophysiology of this injury.


METHODS
A 12-year-old boy sustained a rupture of the right ureter 6 cm below the ureteropelvic junction after a car accident. No other injuries or fractures were identified.


RESULTS
Ureteral injury was immediately diagnosed and repaired primarily. Intravenous urography performed 8 weeks after surgery revealed normal ureteral healing without stricture formation.


CONCLUSIONS
To our knowledge, the isolated avulsion of the ureter in this location has not been reported previously, but must be considered in those patients with severe blunt trauma and hyperextension injuries.
Kotkin
L
L
Department of Pediatric Urology, Children's Hospital, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2765, USA.
Brock
J W
JW
D000063:Accidents, Traffic; D002648:Child; D006801:Humans; D008297:Male; D014513:Ureter / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000601:surgery