We present a singular case of ureteric transection and jejunal injury subordinate to bicycle handlebar harm. Ureteric trauma is rare, happening in <1% of all traumas. Bicycle handlebar injury is a singular trauma method especially noticed in puberty. Damage to the ureter usually results from a significant frightening event namely almost always associated with contributing injury to other intestinal structures. Much of the performance and management of ureteral injuries are commanded by the asperity and management of the associated harms. The emergency management involves the bare minimum possible to help along the crisis when the patient is haemodynamicaly stable.An alternatively healthy 13-year-traditional male presented to the Emergency area after a bicycle occurrence. Upon initial examination skilled was herniation of bowel through the intestinal wound, so exploratory laparotomy was performed. More than 75% of the part of digestive tract's circumference was transected at a distance of 10 cm from the duodeno-jejunal fold, and the upper tertiary of the left ureter was transected close to the abandoned renal pelvis with a person who is unfamiliar (child's fabric remnant) visible. These harms were initially treated by temporarily connecting the two transected ends accompanying an infant feeding hose due to a 3 cm defect. His per cutaneous nephrostomy insertion process followed. After three months, the patient withstood a left sided pyeloureterostomy over a DJ stent for a ending repair. This case demonstrates the danger and delayed definitive administration of ureteric transection and jejunal injury subordinate to penetrating bike handlebar injury.
Author(s) Details:
Ojas Vijayanand Potdar,
Department of Urology, Grant Government Medical
College and J.J. Group of Hospitals, Mumbai, India.
Mohammed
Ayub Karamnabi Siddiqui,
Department
of Urology, Grant Government Medical College and J.J. Group of Hospitals,
Mumbai, India.
Vivek Shaw,
Department of Urology, Grant Government Medical College and J.J. Group of
Hospitals, Mumbai, India.
Kaustubh Vaidya,
Department of Urology, Grant Government Medical College and J.J. Group of
Hospitals, Mumbai, India.
Prashant
Sarawade,
Department of Urology, Grant Government Medical
College and J.J. Group of Hospitals, Mumbai, India.
Shashank
Sharma,
Department
of Urology, Grant Government Medical College and J.J. Group of Hospitals, Mumbai,
India.
Amrita Patkar,
Department of General Surgery, Kokilaben Dhirubhai Ambani Hospital, Andheri
West, Mumbai, India.
Please see the link here: https://stm.bookpi.org/NAMMS-V5/article/view/10867
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