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 |
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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. |
doi_str_mv | 10.7205/MILMED.172.3.335 |
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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.</description><identifier>ISSN: 0026-4075</identifier><identifier>EISSN: 1930-613X</identifier><identifier>DOI: 10.7205/MILMED.172.3.335</identifier><identifier>PMID: 17436783</identifier><language>eng</language><publisher>England: Oxford University Press</publisher><subject>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</subject><ispartof>Military medicine, 2007-03, Vol.172 (3), p.335-337</ispartof><rights>Copyright Association of Military Surgeons of the United States Mar 2007</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c366t-109dfa6aac638d52b705d51c6b54ef760f4f4b9e3ed5dda9d20dc5774c2e67ef3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/17436783$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Dagain, Arnaud</creatorcontrib><creatorcontrib>Dulou, Renaud</creatorcontrib><creatorcontrib>Blondet, Eric</creatorcontrib><creatorcontrib>de Soultrait, François</creatorcontrib><creatorcontrib>Debien, Bruno</creatorcontrib><creatorcontrib>Pernot, B G Philippe</creatorcontrib><title>Vertebromedullary wound with ureteral fistula</title><title>Military medicine</title><addtitle>Mil Med</addtitle><description>We report a case of associated vertebromedullary and ureteral lesions in a severely injured patient, a victim of a gunshot aggression in Africa. 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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.</description><subject>Africa</subject><subject>Humans</subject><subject>Lumbar Vertebrae - injuries</subject><subject>Male</subject><subject>Middle Aged</subject><subject>Prognosis</subject><subject>Spinal Injuries - etiology</subject><subject>Tomography, X-Ray Computed</subject><subject>Ureter - injuries</subject><subject>Urinary Fistula - etiology</subject><subject>Wounds, Gunshot - complications</subject><subject>Wounds, Penetrating - complications</subject><issn>0026-4075</issn><issn>1930-613X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2007</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BEC</sourceid><sourceid>BENPR</sourceid><recordid>eNpdkM9LwzAYhoMobk7vnqR48Nb65Xd7lG3qYMOLireQNgl2dOtMGob_vZENBE_f5Xlf3u9B6BpDIQnw-9ViuZrPCixJQQtK-Qka44pCLjD9OEVjACJyBpKP0EUIawDMqhKfoxGWjApZ0jHK360fbO37jTWx67T_zvZ93Jps3w6fWfR2sF53mWvDEDt9ic6c7oK9Ot4Jenucv06f8-XL02L6sMwbKsSQY6iM00LrRtDScFJL4IbjRtScWScFOOZYXVlqDTdGV4aAabiUrCFWSOvoBN0dene-_4o2DGrThsamfVvbx6Ak0LIShCbw9h-47qPfpm2KYAmskkwkCA5Q4_sQvHVq59tNelVhUL8e1cGjSh4VVcljitwce2OdzPwFjuLoDy7Iblo</recordid><startdate>20070301</startdate><enddate>20070301</enddate><creator>Dagain, Arnaud</creator><creator>Dulou, Renaud</creator><creator>Blondet, Eric</creator><creator>de Soultrait, François</creator><creator>Debien, Bruno</creator><creator>Pernot, B G Philippe</creator><general>Oxford University Press</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>4T-</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88F</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8AO</scope><scope>8C1</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M1Q</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>S0X</scope><scope>7X8</scope></search><sort><creationdate>20070301</creationdate><title>Vertebromedullary wound with ureteral fistula</title><author>Dagain, Arnaud ; 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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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