Radiological Case: Spontaneous Ureteral Injury

Kristy L. Ratkowski, MD; Michael Lin, MD; Sanjeev Bhalla, MD

Disclosures

Appl Radiol. 2018;47(7):38-39. 

In This Article

Conclusion

Spontaneous ureteral injury is a rare complication of vaginal delivery, but it should be strongly suspected when a large amount of simple free fluid is seen on CT. Delayed phase CT, either excretory phase or combined nephrographic/excretory phase, can further characterize the injury for treatment planning. Many cases of ureteral injury can be managed with a relatively conservative approach, including ureteral stenting, without requiring open surgical repair.[3,4]

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