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Query: UMLS:C0403608 (ureter)
 9,655 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

A brief discussion of ureteral injuries with emphasis on injuries secondary to penetrating external violence is presented. Four cases with gunshot injuries to the ureter are documented. The symptoms, diagnosis, and treatment of injuries due to penetrating missiles are presented. The need for routine preoperative intravenous urography and the necessity of having urinary diversion proximal to the anastomosis are stressed.
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PMID:Gunshot injuries to ureter. 114 35

The management of ureteral injuries resulting from external violence or surgery is usually straightforward and is primarily a problem of recognition and development of a treatment plan that allows either repair of the injury away from the site of pathology or conservative drainage and diversion. However, decisions as to the proper therapy can be complicated by legal, economic, and emotional considerations, which make management of these patients difficult. In the last 5 years, endoscopic manipulation of the ureter for the treatment of stones and stricture has become commonplace. Perforation of the ureter occurs in as many as 20 per cent of cases. Sequelae from these inadvertent injuries are rare, particularly if the injury is managed by proximal diversion with percutaneous nephrostomy and placement of a ureteral stent. Three to ten days of drainage is usually all that is required to heal these injuries. The ureter, of course, may also be avulsed during the course of basket extraction of stone, and open operative correction would then be required. The ureter is a delicate structure. To paraphrase a famous patriot, force in the cause of ureteral stone extraction or ureteral catheterization is a vice!
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PMID:Ureteral injury. 271 44

A 12-year-old girl was admitted to hospital with haematemesis. Her family suffered from histidinaemia. Due to her numerous injuries the police suspected a crime. After a short period of clinical treatment she died. Autopsy showed the left ureter to be narrowed and a consecutive abscedens pyelonephritis. Pyloric ulcer caused erosion of a caliber-persistent artery which led to death with haemorrhage. The death had nothing to do with violence. Adequate surgical treatment could have saved the patient's life.
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PMID:A caliber-persistent artery of the gastric wall resulting in fatal haemorrhage. 375 44

Ureteral injuries due to external blunt violence are quite rare. Less than 40% of these injuries are diagnosed in the first 24 hours. The authors described 2 cases of traumatic injuries of the lower ureter due to pelvic fractures. In both patients the injuries are caused by a bony spicule of the fractured acetabulum. If acetabular fracture occurs possible ureteral injury should be suspected and excluded by an intravenous urogram.
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PMID:[Traumatic injuries of the distal ureter in pelvic fractures]. 667 Oct 9

The increased incidence of gunshot injuries of the ureter (GIU) can be explained by increased of armed violence in some large cities and by the performance of intensive care teams, both in civilian practice and in a context of war. The discovery of a GIU, during salvage laparotomy for vascular or visceral lesions is no longer exceptional. We report 5 cases of abdomen gunshot wounds with ureteric trauma treated between 1987 and 1994 by three surgical teams. The data in the literature and the principles of ballistic wounds are analysed. Theses lesions are initially misdiagnosed diagnosis in 10 to 20% of cases, as there are no specific clinical signs, radiological opacification of urinary tract is rarely performed, and septic nature of associated lesions and the ballistic context of the trauma guide the treatment of GIU. When the ureteric lesion is short and associated lesions are limited, the continuity of the urinary tract can be restored after debridement of the extremities by end-to-end anastomosis for the upper 2/3 and direct vesical reimplantation or into a psoas bladder for the lower 1/3. Drainage is ensured either by a bladder catheter or by a double J stent, for a minimal duration of 3 weeks. When there is a defect of the upper two-thirds of the ureter, mobilization of the kidney and its pedicle or transureteroureterostomy may be required. Urinary diversion by nephrostomy or in situ ureterostomy is indicated when the haemodynamic state is unstable and the associated lesions are very septic or in the presence of multiple lesions. Extensive contusion of the ureteric wall must be intubated to prevent fistula formation due to necrosis. Nephrectomy should be avoided in these patients with a mean age of 27 years.
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PMID:[Gunshot injuries of the ureter]. 876 65