Table 1 Patient Characteristics
From: CT scanning for diagnosing blunt ureteral and ureteropelvic junction injuries
Patient No. | Age/Gender | Mechanism of Injury | Hematuria Present (yes/no) | Indications for CT Scan of the Abdomen/Pelvis | Other Injuries | Type of Ureteral Injury | Admission CT Findings | Delay in Diagnosis |
|---|---|---|---|---|---|---|---|---|
1 | 63/M | Car hit by train | Yes | Abdominal pain | Right diaphragm rupture, RLQ hematoma | Left UPJ injury | Stranding and fluid around mid left ureter | No |
2 | 32/F | Motor vehicle collision | Yes | Abdominal pain | C2 fracture, L1-5 fractures, multiple pelvic fractures, right wrist fracture | Right UPJ injury | Low density fluid collection around the kidney/Proximal ureter | No |
3 | 55/M | Fall from 25 ft | Yes | Transient hypotension | Liver lacerations, renal lacerations, multiple rib fracture, R pneumothorax, multiple pelvic fractures, L2 fracture | Mid right ureteral injury | Low density fluid collection along right ureter | No |
4 | 46/M | Car struck by a train | Yes | Unreliable clinical examination due to intubation and sedation | Bilateral renal lacerations, right femoral fracture | Proximal right ureteral injury | Mild degree of fluid and inflammatory change in perinephric fat | No |
5 | 21/F | Motor vehicle collision | Yes | Unreliable clinical examination due to intubation and sedation | Right liver laceration, pancreatic contusion, pelvic fractures. L3/4 fractures | Proximal left ureteral injury | Fluid collection in the perinephric space | No |
6 | 69/M | Pedestrian struck by a car | Yes | Transient episode of hypotension | Splenic laceration, multiple rib fractures, pelvic fracture, bilateral pneumothoraces | Left UPJ injury | Left perinephric hematoma | No |
7 | 42/M | Fall from 100 ft | Yes | Unreliable clinical examination from complete paraplegia with sensory deficit | Comminuted L2/3 fractures | Right UPJ injury | Perinephric hematoma | No |
8 | 56/F | Head-on motor-vehicle collision | No | Unreliable clinical examination due to intubation and sedation | Right kidney lacerations, liver and pancreatic contusion, right adrenal hematoma | Mid right ureteral injury | Small amount of low density fluid adjacent to the right kidney | Yes |