Transcription of MISSED URETERAL INJURIES MANAGEMENT
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MISSED URETERAL INJURIES MANAGEMENT
MISSED URETERAL MISSED URETERAL INJURIES MANAGEMENTINJURIES MANAGEMENTC orneliuCorneliuT. T. VulpeVulpe, , County HospitalKings County HospitalJuly, 2004 July, 2004 URETERAL INJURIESURETERAL INJURIESLATE MANAGEMENTLATE MANAGEMENTI nitial EvaluationInitial Evaluation Fewer than 1% of all GU injuriesFewer than 1% of all GU INJURIES Causes: Causes: --penetrating trauma (GSW penetrating trauma (GSW --most most common, followed by SW)common, followed by SW)--deceleration deceleration avulsion of avulsion of ureterureterat at UPJ, more common in childrenUPJ, more common in children HematuriaHematuria: gross or microscopic : gross or microscopic only 30only 30--70%70%PrestiPrestiJC, Carroll PR, JC, Carroll PR, McAninchMcAninchJW: J Trauma 29:370, 1989 JW: J Trauma 29:370, 1989 Boone TB, Boone TB, GillingGillingPJ, PJ, HusmannHusmannDA: J DA: J UrolUrol150:33, 1993150:33, 1993 BrandesBrandesSB, SB, ChelskyChelskyMJ, MJ, BuckmanBuckmanRF, et al: J Trauma 36.
Complications Fistula - result of distal obstruction or necrosis of the ureter (managed by antegrade or retrograde drainage of the collecting system using percutaneous or endoscopic techniques and drainage of periureteral collection) If
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