Affiliations 

  • 1 Hospital Kajang, Department of General Surgery, Selangor, Malaysia. sabrinabalakrishnan@gmail.com
  • 2 Hospital Kajang, Department of General Surgery, Selangor, Malaysia
Med J Malaysia, 2018 08;73(4):255-256.
PMID: 30121691 MyJurnal

Abstract

Ureteric and bladder injuries are uncommon, difficult to diagnose and rarely occur in isolation. Diagnosis is often delayed or missed at presentation. Therefore, high clinical suspicion and appropriate timing of computed tomography (CT) are of paramount importance. We report two cases (ureteropelvic junction avulsion and ruptured dome of bladder) whereby the presentations were subtle and would have been missed if not for high clinical suspicion. This article discusses the problems associated with these urologic injuries, as well as how to develop a high index of suspicion based on the pattern of anatomical disruption, mechanism of injury, physiological abnormality and comorbidity.

* Title and MeSH Headings from MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine.