Ureteric Injury Caused By Blunt Trauma

ABSTRACT

Ureteral injuries after external violence are rare, occurring in less than 4% of penetrating traumas and 1% of blunt traumas. Most of the ureteral injuries are traumatic in origin and tend to occur as a result of shootings, or stabbings, or during various intraabdominal or retroperitoneal operations. Most are localized in the upper one third of the ureter. Ureteral injury after blunt trauma is rare and can be missed because patients often do not present hematuria. Therefore, in case of blunt trauma exhibiting flank pain, fever, abdominal distention, and leukocytosis, an abdominal CT scan and other diagnostic tools must be used. We describe a case of blunt abdominal trauma that resulted in a ureteral injury with urinoma.