title: Ureteric avulsion caused by lumbar exostosis.
abstract: A 72-year-old woman sustained a ureteric avulsion following circulatory collapse at home. Urosonographic imaging revealed hydronephrosis at the left kidney, and abdominal emergency computed tomography showed some fluid around it. Left retrograde pyelography proved ureteral disruption at the level of the ureteropelvic junction (UPJ). Immediate open surgery was performed to restore ureteropelvic continuity. Correct and early diagnosis of UPJ transsection is difficult under emergency service conditions and lack of symptoms. With the rapid increase in the aging population, the presence of degenerative exostoses will increase, and its exclusive pathomechanism and pattern of injury might be seen more frequently in emergency care. Trauma specialists should be aware of this pathology.
authors.affiliation: Department of Urology and Pediatric Urology, University of Freiburg, Freiburg, Germany. arkadiusz.miernik @ uniklinik-freiburg.de
authors.forename: A
authors.initials: A
authors.lastname: Miernik
authors.forename: C
authors.initials: C
authors.lastname: Halscheid
authors.forename: A
authors.initials: A
authors.lastname: Frankenschmidt
mesh_terms: D000368:Aged; D003558:Cystoscopy / Q000379:methods; D004635:Emergency Medicine / Q000379:methods; D005096:Exostoses / Q000150:complications* / Q000175:diagnosis; D005260:Female; D050723:Fractures, Bone / Q000150:complications; D006801:Humans; D006869:Hydronephrosis / Q000000981:diagnostic imaging / Q000209:etiology; D012769:Shock / Q000150:complications; D014057:Tomography, X-Ray Computed / Q000379:methods; D014463:Ultrasonography; D014513:Ureter / Q000293:injuries* / Q000503:physiopathology; D014517:Ureteral Obstruction / Q000209:etiology* / Q000601:surgery; D014567:Urography / Q000379:methods