title: Pelvic Fracture Urethral Injuries in Children: A Case Report and Appraisal of Their Emergency Management.
abstract: Pelvic fracture urethral injuries are uncommon injuries that are frequently overlooked in the emergency department. We present a case of a 2-year-old girl whose urethral trauma was initially missed and potentially worsened by the placement of a urinary catheter. The clinical and diagnostic features of these rare injuries are discussed along with the controversies surrounding urinary catheter placement and retrograde urethrography.
authors.affiliation: From the Departments of *Pediatrics (Emergency Medicine), †Surgery (Trauma), and ‡Radiology (Pediatrics), Jacobi Medical Center, Albert Einstein College of Medicine, Bronx, NY; and §Department of Urology, Sutter Medical Group, Roseville, CA.
authors.forename: James A
authors.initials: JA
authors.lastname: Meltzer
authors.forename: Srinivas H
authors.initials: SH
authors.lastname: Reddy
authors.forename: Einat
authors.initials: E
authors.lastname: Blumfield
authors.forename: Carolina
authors.initials: C
authors.lastname: Alvayay
authors.forename: Stephen M
authors.initials: SM
authors.lastname: Blumberg
mesh_terms: D002675:Child, Preschool; D005260:Female; D050723:Fractures, Bone / Q000150:complications* / Q000628:therapy; D006801:Humans; D010384:Pelvic Bones / Q000293:injuries*; D014057:Tomography, X-Ray Computed; D014521:Urethra / Q000293:injuries*; D014546:Urinary Catheterization / Q000009:adverse effects*