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Case Reports in Urology
Volume 2011, Article ID 541705, 4 pages
http://dx.doi.org/10.1155/2011/541705
Case Report

Partial Ureteropelvic Junction Disruption after Blunt Trauma: Case Report

Department of Urology, University Hospital Center Hassan II, Fes, Morocco

Received 4 July 2011; Accepted 14 August 2011

Academic Editors: F. Mazzilli and F. Ramezanzadeh

Copyright © 2011 Jalal Eddine El Ammari et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Partial ureteropelvic junction disruption as a result of blunt trauma is rare and frequently missed by the initial trauma evaluation. Delays in diagnosis have also been associated with significant morbidity. A high index of suspicion should lead to appropriate investigations, and the management will be determined by the severity of the disruption. We present herein a 24-year-old man who was admitted to the Emergency Room with multiple organ injuries caused by a severe blunt trauma. Emergency celiotomy was performed for massive hemoperitoneum and shattered spleen which led to splenectomy. The diagnosis of partial UPJ disruption was missed preoperatively and suspected in CT scan after appearance of flank tender mass. Confirmation was obtained in retrograde ureteropyelography and treated conservatively with indwelling ureteral stent. We present herein an extensive review of the literature to examine the current status of this entity and to determine if improvements could be made in the diagnosis and treatment.