Document Detail

Complete transection of the pelvi-ureteric junction in an adult.
MedLine Citation:
PMID:  20529465     Owner:  NLM     Status:  MEDLINE    
We present a unique case report of a 41-year-old man involved in a hit-and-run accident. The patient suffered a complete disruption of the pelvi-ureteric junction along with a fracture of the L3 transverse process. Occasionally seen in children, we believe this to be the first reported adult case. The report details the presentation and symptoms, with subsequent radiology. This case also demonstrates how using an effective multidisciplinary team approach and the ATLS principles, uncommon injuries can be identified and managed successfully. We revisit the classification of ureteric trauma and the accepted best surgical management.
D T Walker; F Massouh; N J Barber
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Publication Detail:
Type:  Case Reports; Journal Article     Date:  2010-06-07
Journal Detail:
Title:  Annals of the Royal College of Surgeons of England     Volume:  92     ISSN:  1478-7083     ISO Abbreviation:  Ann R Coll Surg Engl     Publication Date:  2010 Jul 
Date Detail:
Created Date:  2010-07-14     Completed Date:  2010-08-09     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7506860     Medline TA:  Ann R Coll Surg Engl     Country:  England    
Other Details:
Languages:  eng     Pagination:  W21-3     Citation Subset:  IM    
Department of General Surgery, Frimley Park Hospital, Frimley, UK.
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MeSH Terms
Accidents, Traffic
Anastomosis, Surgical / methods
Kidney Pelvis / injuries*,  radiography
Lumbar Vertebrae / injuries,  radiography
Multiple Trauma / radiography,  surgery
Spinal Fractures / radiography
Tomography, X-Ray Computed
Ureter / injuries*,  radiography,  surgery

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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