Dismembered pyeloplasty for post-traumatic ureteropelvic junction avulsion in a child

Non – iatrogenic ureteral injury is rare because of the well-protected retroperitoneal location of the ureter with an incidence of less than 1%. Furthermore, isolated ureteropelvic junction (UPJ) avulsion as a result of acceleration/deceleration injury is extremely uncommon and may lead to significa...

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Bibliographic Details
Published in:Urology case reports 2021-11, Vol.39, p.101842, Article 101842
Main Authors: Abushamma, Faris, Demyati, Khaled, Barqawi, Abdulkarim, Maree, Mosab, Jaradat, Ahmad, Aghbar, Amir
Format: Article
Language:English
Subjects:
Anderson-hynes
Dismembered pyeloplasty
Trauma and Reconstruction
UPJ avulsion
Ureteral trauma
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Summary:Non – iatrogenic ureteral injury is rare because of the well-protected retroperitoneal location of the ureter with an incidence of less than 1%. Furthermore, isolated ureteropelvic junction (UPJ) avulsion as a result of acceleration/deceleration injury is extremely uncommon and may lead to significant morbidity if the diagnosis has not been made early using CT scan with delayed execratory phase. Endourological management of partial ureteric injuries is feasible, however, uretero-ureterostomy is the standard of care for complete upper ureteric injuries. We present a fourteen years old boy presented with UPJ avulsion secondary to blunt trauma treated with dismembered pyeloplasty approach.
ISSN:2214-4420
2214-4420
DOI:10.1016/j.eucr.2021.101842