Ureteral wound caused by blunt abdominal trauma.
A man fell on icy ground whilst walking to an outdoor toilet. An initial CT scan with intravenous contrast medium was negative. As the man experienced increasing pain a plain abdominal radiograph was performed 2 h later and revealed extravasation of contrast medium emanating from a ureteral injury. This case underlines the possibility that important injuries may not be visible on the initial CT scan that is often used in trauma diagnostics.
Department of Surgery, Uppsala Academic Hospital, Uppsala, Sweden. ulf.gunnarsson@kirurgi.uu.se
Ulf
U
Gunnarsson
Arvid
A
Lewenhaupt
Rolf
R
Heuman
D000007:Abdominal Injuries / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery; D000058:Accidental Falls; D006801:Humans; D008297:Male; D008875:Middle Aged; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000000981:diagnostic imaging* / Q000293:injuries* / Q000601:surgery; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging* / Q000209:etiology* / Q000601:surgery