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Genitourinary
Diagnosis
Ureter
Trauma
Ureteral Trauma
Ureteral Trauma
Bryan R. Foster, MD; Matthew T. Heller, MD, FSAR
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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

                        • Nonvascular Interventions

                          DIFFERENTIAL DIAGNOSIS

                            PATHOLOGY

                            • General Features

                              CLINICAL ISSUES

                              • Presentation

                                • Demographics

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Sahai A et al: British Association of Urological Surgeons (BAUS) consensus document: management of bladder and ureteric injury. BJU Int. ePub, 2021
                                        2. Hughes J et al: Two cases of isolated ureteral injury secondary to blunt force trauma. Cureus. 12(10):e10755, 2020
                                        3. Williams AC et al: Ureteric complications and left retroperitoneal abdominal aortic surgery. ANZ J Surg. 90(12):2502-5, 2020
                                        4. Haroon SA et al: Computed tomography (CT) in the evaluation of bladder and ureteral trauma: indications, technique, and diagnosis. Abdom Radiol (NY). 44(12):3962-77, 2019
                                        5. Tonolini M: Multidetector CT of expected findings and complications after hysterectomy. Insights Imaging. 9(3):369-83, 2018
                                        6. Alabousi A et al: Multi-modality imaging of the leaking ureter: why does detection of traumatic and iatrogenic ureteral injuries remain a challenge? Emerg Radiol. 24(4):417-22, 2017
                                        7. Berko NS et al: Computed tomographic imaging of renal and ureteral emergencies. Curr Probl Diagn Radiol. 44(2):207-20, 2015
                                        8. Briggs JH et al: Suspected iatrogenic ureteric injury: an approach to diagnostic imaging. Clin Radiol. 69(11):e454-61, 2014
                                        9. 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
                                        10. Ibeanu OA et al: Urinary tract injury during hysterectomy based on universal cystoscopy. Obstet Gynecol. 113(1):6-10, 2009
                                        11. Srinivasa RN et al: Genitourinary trauma: a pictorial essay. Emerg Radiol. 16(1):21-33, 2009
                                        12. 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
                                        13. Dirim A et al: Iatrogenic ureteral injury due to lumbar sympathetic block. Scand J Urol Nephrol. 42(4):395-6, 2008
                                        14. Hekal IA et al: Ureteric injury after lumbosacral discectomy: a case report and review of the literature. J Trauma. 64(5):1387-91, 2008
                                        15. 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
                                        16. Kalisvaart JF et al: Robotic-assisted repair of iatrogenic ureteral ligation following robotic-assisted hysterectomy. JSLS. 12(4):414-6, 2008
                                        17. Modi P et al: Laparoscopic ureteroneocystostomy and psoas hitch for post-hysterectomy ureterovaginal fistula. J Urol. 180(2):615-7, 2008
                                        18. Ortega SJ et al: CT scanning for diagnosing blunt ureteral and ureteropelvic junction injuries. BMC Urol. 8:3, 2008
                                        19. Schimpf MO et al: Universal ureteral stent placement at hysterectomy to identify ureteral injury: a decision analysis. BJOG. 115(9):1151-8, 2008
                                        20. Ustunsoz B et al: Percutaneous management of ureteral injuries that are diagnosed late after cesarean section. Korean J Radiol. 9(4):348-53, 2008
                                        21. Brandes SB: Re: Penetrating ureteral trauma. Int Braz J Urol. 33(3):421, 2007
                                        22. 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
                                        23. 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

                                                              • Nonvascular Interventions

                                                                DIFFERENTIAL DIAGNOSIS

                                                                  PATHOLOGY

                                                                  • General Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Demographics

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Sahai A et al: British Association of Urological Surgeons (BAUS) consensus document: management of bladder and ureteric injury. BJU Int. ePub, 2021
                                                                              2. Hughes J et al: Two cases of isolated ureteral injury secondary to blunt force trauma. Cureus. 12(10):e10755, 2020
                                                                              3. Williams AC et al: Ureteric complications and left retroperitoneal abdominal aortic surgery. ANZ J Surg. 90(12):2502-5, 2020
                                                                              4. Haroon SA et al: Computed tomography (CT) in the evaluation of bladder and ureteral trauma: indications, technique, and diagnosis. Abdom Radiol (NY). 44(12):3962-77, 2019
                                                                              5. Tonolini M: Multidetector CT of expected findings and complications after hysterectomy. Insights Imaging. 9(3):369-83, 2018
                                                                              6. Alabousi A et al: Multi-modality imaging of the leaking ureter: why does detection of traumatic and iatrogenic ureteral injuries remain a challenge? Emerg Radiol. 24(4):417-22, 2017
                                                                              7. Berko NS et al: Computed tomographic imaging of renal and ureteral emergencies. Curr Probl Diagn Radiol. 44(2):207-20, 2015
                                                                              8. Briggs JH et al: Suspected iatrogenic ureteric injury: an approach to diagnostic imaging. Clin Radiol. 69(11):e454-61, 2014
                                                                              9. 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
                                                                              10. Ibeanu OA et al: Urinary tract injury during hysterectomy based on universal cystoscopy. Obstet Gynecol. 113(1):6-10, 2009
                                                                              11. Srinivasa RN et al: Genitourinary trauma: a pictorial essay. Emerg Radiol. 16(1):21-33, 2009
                                                                              12. 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
                                                                              13. Dirim A et al: Iatrogenic ureteral injury due to lumbar sympathetic block. Scand J Urol Nephrol. 42(4):395-6, 2008
                                                                              14. Hekal IA et al: Ureteric injury after lumbosacral discectomy: a case report and review of the literature. J Trauma. 64(5):1387-91, 2008
                                                                              15. 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
                                                                              16. Kalisvaart JF et al: Robotic-assisted repair of iatrogenic ureteral ligation following robotic-assisted hysterectomy. JSLS. 12(4):414-6, 2008
                                                                              17. Modi P et al: Laparoscopic ureteroneocystostomy and psoas hitch for post-hysterectomy ureterovaginal fistula. J Urol. 180(2):615-7, 2008
                                                                              18. Ortega SJ et al: CT scanning for diagnosing blunt ureteral and ureteropelvic junction injuries. BMC Urol. 8:3, 2008
                                                                              19. Schimpf MO et al: Universal ureteral stent placement at hysterectomy to identify ureteral injury: a decision analysis. BJOG. 115(9):1151-8, 2008
                                                                              20. Ustunsoz B et al: Percutaneous management of ureteral injuries that are diagnosed late after cesarean section. Korean J Radiol. 9(4):348-53, 2008
                                                                              21. Brandes SB: Re: Penetrating ureteral trauma. Int Braz J Urol. 33(3):421, 2007
                                                                              22. 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
                                                                              23. Neo EN et al: Renal autotransplantation after an latrogenic left ureteric injury. Med J Malaysia. 62(2):164-5, 2007