Renal autotransplantation in management of bilateral ureteral mortar shell injuries: a case report.
We present a 36-year-old female patient who was injured in the pelvic region by a mortar shell fragment. The trauma comprised a complex lesion to both ureters, to the urinary bladder, and to the pelvic brim. The ruptured urinary bladder was sutured and a bilateral ureterocutaneostomy was performed in a hospital near the front line. Because of a large scar and the right ureter necrosis, a kidney autotransplant was performed 3 months later. A left ureterocystoneostomy was done. Five years later, because of urosepsis and hydronephrosis caused by a ureteral calculus, a nephrostomy was placed in the proximal right ureter, antibiotic treatment was prescribed, and the calculus was managed by crushing the stones using extracorporeal shock wave lithotripsy. Ten years after the initial trauma, the patient is well, has normal micturition, and both of her kidneys are functioning normally.
Kastelan
Zeljko
Z
Department of Urology, University Hospital Center Zagreb, 10000 Zagreb, Croatia.
Derezić
Daniel
D
Pasini
Josip
J
Sosić
Hrvoje
H
D000328:Adult; D001753:Blast Injuries / Q000000981:diagnostic imaging / Q000601:surgery*; D017523:Croatia; D005260:Female; D006801:Humans; D016030:Kidney Transplantation; D019651:Plastic Surgery Procedures; D014182:Transplantation, Autologous; D014513:Ureter / Q000000981:diagnostic imaging / Q000293:injuries* / Q000601:surgery; D014567:Urography; D014950:Wounds, Penetrating / Q000000981:diagnostic imaging / Q000601:surgery*