The American Journal of Surgery
Volume 199, Issue 4 , Pages 566-570 , April 2010

Ureteral trauma: Patterns and mechanisms of injury of an uncommon condition

Presented at the 19th Annual Scientific Session of the Society of Black Academic Surgeons, April 2–4, 2009, Seattle, WA.

  • Suryanarayana M. Siram, M.D.

      Affiliations

    • Department of Surgery, Howard University College of Medicine, 2041 Georgia Avenue, NW, Washington, DC 20060, USA
    • Corresponding Author InformationCorresponding author: Tel.: +1-202-865-1285; fax: +1-202-865-7089
    • ,
  • Sonja Z. Gerald, M.B.A.

      Affiliations

    • Department of Surgery, Howard University College of Medicine, 2041 Georgia Avenue, NW, Washington, DC 20060, USA
    • ,
  • Wendy R. Greene, M.D.

      Affiliations

    • Department of Surgery, Howard University College of Medicine, 2041 Georgia Avenue, NW, Washington, DC 20060, USA
    • ,
  • Kakra Hughes, M.D.

      Affiliations

    • Department of Surgery, Howard University College of Medicine, 2041 Georgia Avenue, NW, Washington, DC 20060, USA
    • ,
  • Tolulope A. Oyetunji, M.D., M.P.H.

      Affiliations

    • Department of Surgery, Howard University College of Medicine, 2041 Georgia Avenue, NW, Washington, DC 20060, USA
    • ,
  • Kristin Chrouser, M.D., M.P.H.

      Affiliations

    • Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    • ,
  • Edward E. Cornwell III, M.D.

      Affiliations

    • Department of Surgery, Howard University College of Medicine, 2041 Georgia Avenue, NW, Washington, DC 20060, USA
    • ,
  • David C. Chang, Ph.D., M.P.H., M.B.A.

      Affiliations

    • Department of Surgery, Howard University College of Medicine, 2041 Georgia Avenue, NW, Washington, DC 20060, USA
    • Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
    • Department of Surgery, Johns Hopkins School of Medicine, Baltimore, MD, USA

Received 11 May 2009 ,Revised 20 November 2009

References 

  1. Bent C, Iyngkaran T, Power N, et al. Urological injuries following trauma. Clin Radiol. 2008;63:1361–1371
  2. Santucci R, Williams H, O'Reilly K, et al. Ureteral trauma. E-Medicine. Available: http://emedicine.medscape.com/article/440933-overview. Accessed: May 1, 2009.
  3. Best CD, Petrone P, Buscarini M, et al. Traumatic ureteral injuries: a single institution experience validating the American Association for the Surgery of Trauma–Organ Injury Scale grading scale. J Urol. 2005;173:1202–1205
  4. Laberge I, Homsy YL, Dadour G, et al. Avulsion of ureter by blunt trauma. Urology. 1979;13:172
  5. Khashayar VK, Roland JC, Samir M, et al. Ureteropelvic junction disruption. J Am Coll Surg. 2006;202:707
  6. Mulligan JM, Cagiannos I, Collins JP, et al. Ureteropelvic junction disruption secondary to blunt trauma: excretory phase imaging (delayed films) should help prevent a missed diagnosis. J Urol. 1998;159:67–70
  7. Ortega SJ, Netto FS, Hamilton P, et al. Scanning for diagnosing blunt ureteral and ureteropelvic junction injuries. BMC Urol. 2008;8:3
  8. Medina D, Lavery R, Ross SE, et al. Ureteral trauma: preoperative studies neither predict injury nor prevent missed injuries. J Am Coll Surg. 1998;186:641–644
  9. Palmer LS, Rosenbaum RR, Gershbaum MD, et al. Penetrating ureteral trauma at an urban trauma center: 10-year experience. Urology. 1999;54:34–36
  10. Cass AS. Blunt renal pelvic and ureteral injury in multiple-injured patients. Urology. 1983;22:268–270
  11. Kunkle DA, Kansas BT, Pathak AP, et al. Delayed diagnosis of traumatic ureteral injuries. J Urol. 2006;176:2503–2507
  12. Franco I, Eshghi M, Schutte H, et al. Value of proximal diversion and ureteral stenting in management of penetrating ureteral trauma. Urology. 1988;32:99–102
  13. Srinivasa RN, Akbar SA, Jafri SZ, et al. Genitourinary trauma: a pictorial essay. Emerg Radiol. 2009;16:21–33
  14. Campbell EW, Filderman PS, Jacobs SC. Ureteral injury due to blunt and penetrating trauma. Urology. 1992;40:216–220
  15. Perez-Brayfield MR, Keane TE, Krishnan A, et al. Gunshot wounds to the ureter: a 40-year experience at Grady Memorial Hospital. J Urol. 2001;166:119
  16. Smith TR, Bosniak MA. Evaluation of ureteral obstruction in the bony pelvis with iliac vein venography. AJR Am J Roentgenol. 1974;120:124–129
  17. Kawashima A, Sandler CM, Corriere JN, et al. Ureteropelvic junction injuries secondary to blunt abdominal trauma. Radiology. 1997;205:487–492
  18. Kennedy F, Cornwell EE, Lockett C, et al. Blunt injury to the left common iliac artery. Am Surg. 1995;61:360–362
  19. Fraga GP, Borges GM, Mantovani M, et al. Penetrating ureteral trauma. Int Braz J Urol. 2007;33:142–150
  20. Husum H, Strada G. Injury severity score vs. new injury severity score for penetrating injuries. Prehosp Disaster Med. 2002;17:27–32
  21. Presti JC, Carroll PR, McAninch JW. Ureteral and renal pelvic injuries from external trauma: diagnosis and management. J Trauma. 1989;29:370–374
  22. Moore EE, Cogbill TH, Jurkovich GJ, et al. Organ injury scaling (III: chest wall, abdominal vascular, ureter, bladder, and urethra). J Trauma. 1992;33:337–339
  23. Elliott SP, McAninch JW. Ureteral injuries from external violence: the 25-year experience at San Francisco General Hospital. J Urol. 2003;170:1213–1216

PII: S0002-9610(09)00759-4

doi: 10.1016/j.amjsurg.2009.11.001

The American Journal of Surgery
Volume 199, Issue 4 , Pages 566-570 , April 2010

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