Vertebromedullary wound with ureteral fistula

We report a case of associated vertebromedullary and ureteral lesions in a severely injured patient, a victim of a gunshot aggression in Africa. Urine extended from the ureteral fistula through the third lumbar vertebral body, blended with cerebrospinal fluid from the dural attrition, and flowed ver...

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Veröffentlicht in:Military medicine 2007-03, Vol.172 (3), p.335-337
Hauptverfasser: Dagain, Arnaud, Dulou, Renaud, Blondet, Eric, de Soultrait, François, Debien, Bruno, Pernot, B G Philippe
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container_end_page 337
container_issue 3
container_start_page 335
container_title Military medicine
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creator Dagain, Arnaud
Dulou, Renaud
Blondet, Eric
de Soultrait, François
Debien, Bruno
Pernot, B G Philippe
description We report a case of associated vertebromedullary and ureteral lesions in a severely injured patient, a victim of a gunshot aggression in Africa. Urine extended from the ureteral fistula through the third lumbar vertebral body, blended with cerebrospinal fluid from the dural attrition, and flowed very slowly through the dorsal exit ballistic hole. This is to our knowledge the first such case described in the literature. Uro-computed tomography scan finally made the diagnosis of ureteral fistula after two neurosurgical procedures determined that initially presumed dural persistent fistula needed to be closed.
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source Oxford University Press Journals; MEDLINE; EZB Electronic Journals Library
subjects Africa
Humans
Lumbar Vertebrae - injuries
Male
Middle Aged
Prognosis
Spinal Injuries - etiology
Tomography, X-Ray Computed
Ureter - injuries
Urinary Fistula - etiology
Wounds, Gunshot - complications
Wounds, Penetrating - complications
title Vertebromedullary wound with ureteral fistula
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