Ureteral injury after percutaneous iliosacral fixation: a case report and literature review

J Pediatr Surg. 2012 Aug;47(8):e13-6. doi: 10.1016/j.jpedsurg.2012.03.065.

Abstract

We report a case of right ureter injury in an 11-year-old girl after a percutaneous iliosacral screwing with non-computer-assisted fluoroscopic guidance. The indication was a pelvic ring fracture, C1-1 in the Tile modified AO classification (J Am Acad Orthop Surg. 1996;4:143-151). The mechanism was a ski accident. A percutaneous iliosacral screwing was performed to stabilize the right iliac wing fracture. Twelve days after the initial trauma, a right ureter tear was highlighted, just opposite the fourth lumbar vertebra. Uneventful spontaneous healing of the ureteral injury site occurred following double J-stent catheterization.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Bone Plates
  • Bone Screws / adverse effects*
  • Child
  • Female
  • Fluoroscopy
  • Fracture Fixation, Internal / methods*
  • Fractures, Bone / diagnostic imaging
  • Fractures, Bone / surgery*
  • Humans
  • Ilium / diagnostic imaging
  • Ilium / injuries
  • Ilium / surgery*
  • Imaging, Three-Dimensional
  • Postoperative Complications / etiology*
  • Pubic Symphysis Diastasis / diagnostic imaging
  • Pubic Symphysis Diastasis / etiology
  • Pubic Symphysis Diastasis / surgery
  • Radiography, Interventional
  • Sacrum / diagnostic imaging
  • Sacrum / surgery*
  • Skiing / injuries
  • Stents
  • Tomography, X-Ray Computed
  • Ureter / injuries*
  • Urinary Catheterization
  • Urinoma / etiology