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.
Gunnarsson
Ulf
U
Department of Surgery, Uppsala Academic Hospital, Uppsala, Sweden. ulf.gunnarsson@kirurgi.uu.se
Lewenhaupt
Arvid
A
Heuman
Rolf
R
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