81 KB9 KB192920262004Bratuš, DejanHlebič, Gregorštevilka:4letnik:73str. 293-294ISSN:1318-0347COBISSID_HOST:1524799URN:URN:NBN:SI:doc-74EC0GJOslSlovensko zdravniško društvoZdravniški vestnikRane, strelna ranaSečevodUreterWounds, gunshotIzolirana strelna poškodba sečevoda - prikaz primera| Isolated gunshot ureteral injury - case report|Background. In the article a case report of an eleven years old child who suffered an air rifle gunshot injury of his right ureter is presented. Methods. The child was admitted to the hospital without any subjective complaints while both ultrasound and CT scan showed a metallic alien body just below the hilus of his right kidney with no surrounding liquid collection. After the condition of the child had worsened with right lumbar and abdominal pain, the control CT scan showed a huge urinoma in his right retroperitoneum. Results. During a surgical exploration an ureteral injury was found with the pellet lying inside the right ureter just below the injury, causing an obstruction of the ureter. After the removal of the pellet and suturing of the ureter over a double J stent the child recovered without any sequels. Conclusions. The ureter is the least often injured genitourinary organ. The management of these injuries is usually straightforward and is primarily a problem of recognition at the initial presentation, especially of a patient with multiple injuries. The delayed presentation is principally responsible for the morbidity that is associated with a ureteral injuryIzhodišča. Prikazan je primer 11-letnega otroka, ki je utrpel strelno poškodbo desnega sečevoda s strelom iz zračne puške. Metode. Ob sprejemu v bolnišnico je bil otrok klinično brez subjektivnih težav, ultrazvočno (UZ) in računalniško tomografsko (CT) slikanje pokažeta kovinski tujek tik pod hilusom desne ledvice brez kolekcije tekočine v okolici. ©ele ob poslabšanju klinične slike z bolečinami desno ledveno in v trebuhu pokaže kontrolni CT obilno kolekcijo tekočine desno retroperitonealno (urin). Rezultati. Ob operativni eksploraciji ugotovimo, da gre za poškodbo začetnega dela sečevoda, metek zračne puške pa leži tik pod poškodovanim mestom v sečevodu in povzroča njegovo obstrukcijo. Po odstranitvi metka, vstavitvi stenta in zašitju sečevoda otrok okreva brez posledic. Zaključki. Poškodbe sečevoda so med poškodbami sečil in spolovil najredkejše. Po navadi ni problem v zdravljenju teh poškodb, ampak v prepoznavi, saj ostanejo ob prvotni evalvaciji predvsem zaradi številnih pridruženih poškodb neprepoznane. Pozna ugotovitev poškodbe sečevoda je glavni krivec za pridruženo obolevnost, ki jo opazujemo ob poškodbah sečevodaTEXTznanstveno časopisjejournalsSlovenian National E-content AggregatorNational and University Library of SloveniaSlovensko zdravniško društvo