1. Index of suspicion with appropriate timing of CT scan helps prevent missed diagnosis in urologic trauma.
- Author
-
Sabrina B, Tan KL, Johann FK, and Andre D
- Subjects
- Adolescent, Adult, Humans, Male, Pelvis diagnostic imaging, Pelvis injuries, Time Factors, Tomography, X-Ray Computed methods, Ureter diagnostic imaging, Urinary Bladder diagnostic imaging, Ureter injuries, Urinary Bladder injuries
- 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.
- Published
- 2018