Citation

Katagiri A, Yamazaki H, Matsumoto K. Urol Case Rep 2020; 31: e101188.

Affiliation

Department of Urology, Niigata Prefectural Central Hospital, Jouetsu, Niigata, Japan.

Copyright

(Copyright © 2020, Elsevier Publishing)

DOI

10.1016/j.eucr.2020.101188

PMID

32292703

PMCID

PMC7150507

Abstract

We experienced a rare case of ureteropelvic junction disruption (UPJD) as a seat belt injury. A 19-year-old female was transferred after a car accident while wearing a seat belt. Computed tomography showed multiple fractures including Chance fracture dislocation of the first lumbar spine and right renal laceration with partial infarction. Emergency posterior spinal fusion was performed. The next day, computed tomography revealed right perirenal contrast extravasation, and right UPJD was confirmed with retrograde urography and ureteroscopy. Ureteropelvic reanastomosis was performed. Computed tomography of excretory phase or repeat evaluation is recommended to prevent delayed diagnosis of UPJD including seat belt injury.

© 2020 The Authors.

Language: en

Keywords

Chance fracture; Seat belt injury; Ureteropelvic junction disruption