Ureteral Injury
Shaun R. Rybak
CLINICAL HISTORY
24-year-old female restrained passenger in a high-speed motor vehicle collision.
FINDINGS
Figures 67A and 67B: Axial and coronal contrast-enhanced CT images of the pelvis demonstrate a collection of high-density material surrounding the right distal ureter just above the level of the acetabula (arrows). The density is greater than that of the arteries. There is low- and high-density fluid in the pelvis (arrowhead), likely consisting of urine and hemorrhage. Figure 67C: Axial delayed CT image of the pelvis demonstrates increased amount of extravasated contrasted urine from the right distal ureter (arrow) in the anterior and posterior pelvis (arrowhead).
DIFFERENTIAL DIAGNOSIS