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10.1016/j.tcr.2017.07.002

http://scihub22266oqcxt.onion/10.1016/j.tcr.2017.07.002
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C5887045!5887045 !29644266
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suck abstract from ncbi


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pmid29644266
      Trauma+Case+Rep 2017 ; 10 (ä): 16-18
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  • Ureteric transection secondary to penetrating handlebar injury #MMPMID29644266
  • Debbink KP ; Tashjian DB ; Tirabassi MV ; Gaffey R ; Nahmias J
  • Trauma Case Rep 2017[Aug]; 10 (ä): 16-18 PMID29644266 show ga
  • Ureteric trauma is rare, occurring in < 1% of all traumas. We present a unique case of a 13 year old female who sustained a penetrating abdominal injury from a bicycle handlebar. Upon initial examination there was herniation of bowel through the abdominal wound, so exploratory laparotomy was performed. A serosal injury of the colon and bleeding mesenteric veins were encountered; the retroperitoneum was not explored at that time. Postoperative course was remarkable for a doubling of the serum creatinine, increasing abdominal distention and pain. Computed tomography on postoperative day five demonstrated a large amount of intra-abdominal fluid. The patient was taken for re-exploration. The left ureter was found to be completely transected. It was repaired over a double-J stent. This case demonstrates the need for a high index of suspicion in the diagnosis of ureteric injury.
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