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Ureter trauma
From WikEM
Contents
Background
- 90% of injuries occur from penetrating injury
- Isolated ureter injury is rare
Clinical Features
Differential Diagnosis
Abdominal Trauma
- Liver trauma
- Splenic trauma
- Pelvic fractures
- Genitourinary trauma
- Retroperitoneal hemorrhage
- Renal trauma
- Ureter trauma
- Abdominal compartment syndrome
- Trauma in pregnancy
Evaluation
- Absence of hematuria does NOT rule out ureteral injury
- If CT is nondiagnostic but high index of suspicion perform IV urography or retrograde pyelography
Management
- Surgery
Disposition
- Admit
