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권오상 ( Oh Sang Kwon ),문윤수 ( Yun Su Mun ),우승효 ( Seung Hwo Woo ),한현영 ( Hyun Young Han ),황정주 ( Jung Joo Hwang ),이장영 ( Jang Young Lee ),이민구 ( Min Koo Lee ) 대한외상학회 2012 大韓外傷學會誌 Vol.25 No.4
Ureteral trauma is rare, accounting for less than 1% of all urologic traumas. However, a missed ureteral injury can result in significant morbidity and mortality. The purpose of this case presentation is to suggest another method for early detection of ureteral injury in blunt traumatic patient. A 47-years-old man was injured in pedestrian traffic accident. He undergone 3-phase abdominal CT initially and had had a short-term follow-up simple. We suspected ureteral injury. Our final diagnosis of a ureteral injury was based on follow-up and antegrade pyeloureterography, he underwent emergency surgery. We detected the ureteral injury early and took a definitive action within 24 hours. In blunt trauma, if abnormal fluid collection in the perirenal retroperitoneal space is detect, the presence of a ureteral injury should be suspected, so a short-term simple X-ray or abdominal CT, within a few hours after initial abdominal CT, may be useful. (J Trauma Inj 2012;25:291-295)