Ureteral war injuries. Apropos of 3 African cases
Fievet, J.P.; Dumurgier, C.; Jaud, V.; Courbon, X.; Cazenave, J.C.; Barnaud, P.
Medecine Tropicale Revue du Corps de Sante Colonial 47(4): 375-379
1987
ISSN/ISBN: 0025-682X PMID: 3431388 Document Number: 287980
The war ureteral gunshot wounds (W.U.G.W.) are, in practice, scarce but not an exception. They are to be suspected in every war abdominal injury. Urethral catheterization, microscopic hematuria research, simple X-Ray and I.V.P. have to be undertaken; but it's never easy in wartime circumstances. Investigation must be carried out during intervention: ureteral exploration in case of retroperitoneal hematoma or wound. Three observations illustrate these main difficulties. Unfortunately diagnosis is often done in post-operative time when a complication arises. The treatment is now well known: adequate debridement, anastomosis or reimplantation and drainage.