Citation

McCorgray CA, Ragupathy S, Beaumont A, El Mokadem I, Khadhouri S, Athanasiadis G. J. Surg. Case Rep. 2021; 2021(9): rjab417.

Copyright

(Copyright © 2021, Oxford University Press)

DOI

10.1093/jscr/rjab417

PMID

34611489

PMCID

PMC8487666

Abstract

Ureteric injuries from blunt trauma are rare in adults requiring prompt diagnosis and management. To our knowledge this is the second case report of a complete transection of the ureter due to blunt injury at the pelvi-ureteric junction in an adult. Following a high-speed road traffic collision, a 26-year-old female with bilateral duplex kidneys was admitted with complete transection of the lower moiety of her right collecting system confirmed on computed tomography Urogram. This was repaired successfully with a minimally invasive laparoscopic technique in keeping with European Association of Urology guidelines. A 3-month follow-up MAG 3 renogram indicated adequate drainage from the right kidney with no evidence of obstruction. This successful outcome demonstrates a laparoscopic repair is achievable and favourable, improving post-operative recovery and reduction of inpatient length of stay. We recommend that a laparoscopic approach should be attempted unless laparotomy is indicated for other injuries.

Language: en