Section ur étérale au cours d’un traumatisme pénétrant de l’abdomen: à propos d’un cas et revue de la littérature

We report a case of a young patient admitted for penetrating abdominal trauma following a wound by a sharp object, admitted to the surgical emergency department at CHU Ibn Ruchd Casablanca, with hemodynamic instability and evisceration. Intraoperative abdominal exploration noted a complete ureteral section with a partial jejunal section without major vascular injury. Adequate haemostasis has been achieved; uretero - ureteral anastomosis with a double J stent was performed to treat the ureteral section, and jejunal wound was sutured with absorbable suture with feeding jejunostomy. The postoperative course was unenventful. Posttraumatic ureteral injuries undiagnosed in time are correlated with a high morbidity and mortality. A high index of suspicion allows rapid diagnosis and care in time.
Source: African Journal of Urology - Category: Urology & Nephrology Source Type: research