title: Ureteral penetration caused by drilling during internal pelvic bone fixation: delayed recognition.
abstract: A 49-year-old man was referred to our department with profuse serous fluid discharge from a Penrose drain after undergoing internal fixation with metal screws for multiple pelvic bone fractures. A definite ureteral penetration was identified that was orientated from the lateral to the medial aspect of the right distal ureter. The patient was surgically treated with excision of the 2-cm injured ureteral segment, end-to-end ureteroureterostomy, and double J ureteral stent placement. To our knowledge, a penetrating ureteral injury caused by bone drilling has not been reported previously in the published literature. This case shows that surgeons who do pelvic surgery, including orthopedic surgeons, should be familiar with the anatomical relationship of the ureter and its potential injuries.
authors.affiliation: Department of Urology, Chonbuk National University Medical School, Jeonju, Korea.
authors.forename: Yu Seob
authors.initials: YS
authors.lastname: Shin
authors.forename: Jong Hyuk
authors.initials: JH
authors.lastname: Park
authors.forename: Omer A
authors.initials: OA
authors.lastname: Raheem
authors.forename: Young Beom
authors.initials: YB
authors.lastname: Jeong
authors.forename: Hyung Jin
authors.initials: HJ
authors.lastname: Kim
authors.forename: Young Gon
authors.initials: YG
authors.lastname: Kim
keywords: Drilling; Injury; Ureter