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

ConclusionsLes lésions urétérales post-traumatiques non diagnostiquées à temps sont corrélées à une morbidité et une mortalité élevée. Un index de suspicion élevé permettrait un diagnostic rapide et une prise en charge à temps.AbstractIntroductionUreteral sections in penetrating trauma of the abdomen are rare.ObservationWe 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 uneventful.ConclusionPosttraumatic 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