韩国腹部钝伤后近端输尿管损伤的延迟诊断:病例报告。

Journal of Trauma and Injury Pub Date : 2024-09-01 Epub Date: 2024-09-03 DOI:10.20408/jti.2024.0016
Soon Ki Min, Byungchul Yu, Gil Jae Lee, Min A Lee, Yang Bin Jeon, Youngeun Park, Kang Kook Choi, Hyuk Jun Yang
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引用次数: 0

摘要

输尿管外伤在泌尿系统外伤中所占比例不到 1%,钝器外伤造成的输尿管外伤比穿透性外伤造成的输尿管外伤更为罕见。输尿管损伤的相关症状可能很隐蔽,伴有或不伴有血尿,因此很难诊断。我们报告了一例因摩托车交通事故造成腹部钝性外伤而导致输尿管近端损伤诊断延迟的 31 岁男性病例。患者入院时因肝脏损伤、肠系膜损伤和腹腔积血接受了急诊开腹手术。术后第 6 天,他因怀疑腹腔内残余出血而接受了血管栓塞术。持续的侧腹疼痛和白细胞增多症状导致后续影像学检查发现输尿管近端损伤,患者接受了单侧肾切除术。本病例强调了临床怀疑腹部创伤时泌尿生殖系统损伤的重要性。
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Delayed diagnosis of proximal ureter injury after a blunt abdominal trauma in Korea: a case report.

Traumatic ureteral injuries account for fewer than 1% of traumatic urologic injuries, and those caused by blunt trauma are even rarer than those caused by penetrating trauma. The symptoms associated with ureteral injury may be subtle, with or without hematuria, making it difficult to diagnose. We report the case of a 31-year-old man with a delayed diagnosis of proximal ureter injury after abdominal blunt trauma sustained in a motorcycle traffic accident. The patient underwent emergency laparotomy on admission for liver injury, mesenteric injury, and resultant hemoperitoneum. On postoperative day 6, he underwent angioembolization for suspected remnant intra-abdominal bleeding. Persistent symptoms of flank pain and leukocytosis led to follow-up imaging studies that revealed proximal ureter injury, and the patient underwent unilateral nephrectomy. This case stresses the importance of clinical suspicion for genitourinary injuries in the presence of abdominal trauma.

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审稿时长
11 weeks
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