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Ureteral Trauma
Matthew T. Heller, MD, FSAR; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            TERMINOLOGY

            • Definitions

              • Injury of ureter from blunt, penetrating, or iatrogenic trauma

            IMAGING

            • General Features

              • MR Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    • Radiographic Findings

                      • CT Findings

                        • Nuclear Medicine Findings

                          • Nonvascular Interventions

                            DIFFERENTIAL DIAGNOSIS

                              PATHOLOGY

                              • General Features

                                CLINICAL ISSUES

                                • Presentation

                                  • Demographics

                                    • Natural History & Prognosis

                                      Selected References

                                      1. Berko NS et al: Computed Tomographic Imaging of Renal and Ureteral Emergencies. Curr Probl Diagn Radiol. 44(2):207-220, 2015
                                      2. Briggs JH et al: Suspected iatrogenic ureteric injury: an approach to diagnostic imaging. Clin Radiol. 69(11):e454-61, 2014
                                      3. Patel BN et al: Imaging of iatrogenic complications of the urinary tract: kidneys, ureters, and bladder. Radiol Clin North Am. 52(5):1101-16, 2014
                                      4. Ibeanu OA et al: Urinary tract injury during hysterectomy based on universal cystoscopy. Obstet Gynecol. 113(1):6-10, 2009
                                      5. Srinivasa RN et al: Genitourinary trauma: a pictorial essay. Emerg Radiol. 16(1):21-33, 2009
                                      6. Cannon GM Jr et al: Computerized tomography findings in pediatric renal trauma--indications for early intervention?. J Urol. 179(4):1529-32; discussion 1532-3, 2008
                                      7. Carvalho GL et al: Laparoscopic repair of a ureter damaged during inguinal herniorrhaphy. Surg Laparosc Endosc Percutan Tech. 18(5):526-9, 2008
                                      8. Dirim A et al: Iatrogenic ureteral injury due to lumbar sympathetic block. Scand J Urol Nephrol. 42(4):395-6, 2008
                                      9. Hekal IA et al: Ureteric injury after lumbosacral discectomy: a case report and review of the literature. J Trauma. 64(5):1387-91, 2008
                                      10. Hoestje SM et al: Right ureteral injury after radiofrequency ablation for atrial fibrillation. Urology. 72(4):948, 2008
                                      11. Jung SK et al: Ureteral injuries during classic intrafascial supracervical hysterectomy: an 11-year experience in 1163 patients. J Minim Invasive Gynecol. 15(4):440-5, 2008
                                      12. Kalisvaart JF et al: Robotic-assisted repair of iatrogenic ureteral ligation following robotic-assisted hysterectomy. JSLS. 12(4):414-6, 2008
                                      13. Modi P et al: Laparoscopic ureteroneocystostomy and psoas hitch for post-hysterectomy ureterovaginal fistula. J Urol. 180(2):615-7, 2008
                                      14. Ortega SJ et al: CT scanning for diagnosing blunt ureteral and ureteropelvic junction injuries. BMC Urol. 8:3, 2008
                                      15. Schimpf MO et al: Universal ureteral stent placement at hysterectomy to identify ureteral injury: a decision analysis. BJOG. 115(9):1151-8, 2008
                                      16. Ustunsoz B et al: Percutaneous management of ureteral injuries that are diagnosed late after cesarean section. Korean J Radiol. 9(4):348-53, 2008
                                      17. Brandes SB: Re: Penetrating ureteral trauma. Int Braz J Urol. 33(3):421, 2007
                                      18. Léonard F et al: Ureteral complications from laparoscopic hysterectomy indicated for benign uterine pathologies: a 13-year experience in a continuous series of 1300 patients. Hum Reprod. 22(7):2006-11, 2007
                                      19. Neo EN et al: Renal autotransplantation after an latrogenic left ureteric injury. Med J Malaysia. 62(2):164-5, 2007
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              • Clinical Issues

                                                TERMINOLOGY

                                                • Definitions

                                                  • Injury of ureter from blunt, penetrating, or iatrogenic trauma

                                                IMAGING

                                                • General Features

                                                  • MR Findings

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        • Radiographic Findings

                                                          • CT Findings

                                                            • Nuclear Medicine Findings

                                                              • Nonvascular Interventions

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Natural History & Prognosis

                                                                          Selected References

                                                                          1. Berko NS et al: Computed Tomographic Imaging of Renal and Ureteral Emergencies. Curr Probl Diagn Radiol. 44(2):207-220, 2015
                                                                          2. Briggs JH et al: Suspected iatrogenic ureteric injury: an approach to diagnostic imaging. Clin Radiol. 69(11):e454-61, 2014
                                                                          3. Patel BN et al: Imaging of iatrogenic complications of the urinary tract: kidneys, ureters, and bladder. Radiol Clin North Am. 52(5):1101-16, 2014
                                                                          4. Ibeanu OA et al: Urinary tract injury during hysterectomy based on universal cystoscopy. Obstet Gynecol. 113(1):6-10, 2009
                                                                          5. Srinivasa RN et al: Genitourinary trauma: a pictorial essay. Emerg Radiol. 16(1):21-33, 2009
                                                                          6. Cannon GM Jr et al: Computerized tomography findings in pediatric renal trauma--indications for early intervention?. J Urol. 179(4):1529-32; discussion 1532-3, 2008
                                                                          7. Carvalho GL et al: Laparoscopic repair of a ureter damaged during inguinal herniorrhaphy. Surg Laparosc Endosc Percutan Tech. 18(5):526-9, 2008
                                                                          8. Dirim A et al: Iatrogenic ureteral injury due to lumbar sympathetic block. Scand J Urol Nephrol. 42(4):395-6, 2008
                                                                          9. Hekal IA et al: Ureteric injury after lumbosacral discectomy: a case report and review of the literature. J Trauma. 64(5):1387-91, 2008
                                                                          10. Hoestje SM et al: Right ureteral injury after radiofrequency ablation for atrial fibrillation. Urology. 72(4):948, 2008
                                                                          11. Jung SK et al: Ureteral injuries during classic intrafascial supracervical hysterectomy: an 11-year experience in 1163 patients. J Minim Invasive Gynecol. 15(4):440-5, 2008
                                                                          12. Kalisvaart JF et al: Robotic-assisted repair of iatrogenic ureteral ligation following robotic-assisted hysterectomy. JSLS. 12(4):414-6, 2008
                                                                          13. Modi P et al: Laparoscopic ureteroneocystostomy and psoas hitch for post-hysterectomy ureterovaginal fistula. J Urol. 180(2):615-7, 2008
                                                                          14. Ortega SJ et al: CT scanning for diagnosing blunt ureteral and ureteropelvic junction injuries. BMC Urol. 8:3, 2008
                                                                          15. Schimpf MO et al: Universal ureteral stent placement at hysterectomy to identify ureteral injury: a decision analysis. BJOG. 115(9):1151-8, 2008
                                                                          16. Ustunsoz B et al: Percutaneous management of ureteral injuries that are diagnosed late after cesarean section. Korean J Radiol. 9(4):348-53, 2008
                                                                          17. Brandes SB: Re: Penetrating ureteral trauma. Int Braz J Urol. 33(3):421, 2007
                                                                          18. Léonard F et al: Ureteral complications from laparoscopic hysterectomy indicated for benign uterine pathologies: a 13-year experience in a continuous series of 1300 patients. Hum Reprod. 22(7):2006-11, 2007
                                                                          19. Neo EN et al: Renal autotransplantation after an latrogenic left ureteric injury. Med J Malaysia. 62(2):164-5, 2007