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ABSTRACT BACKGROUND. A 7-year-old previously healthy girl was injured in a traffic accident and presented to the emergency room with abdominal pain, microscopic hematuria, and wide skin
defects and deep lacerations on the left flank, left upper abdomen, and right inguinal area. Initial CT of the abdomen was unremarkable. 3 weeks later, the patient complained of abdominal
distension, left flank pain, and fever. INVESTIGATIONS. Blood and urine tests, CT of the abdomen, chest X-ray, antegrade pyelography, intravenous urography, renal ultrasonography and
diuretic renal scan. DIAGNOSIS. Complete avulsion injury of the left ureteropelvic junction MANAGEMENT. The patient underwent 11 plastic reconstructive surgeries, including a skin grafting
operation. A percutaneous nephrostomy was performed for temporary diversion. After complete healing of the left flank wound, open pyeloplasty was performed to create a ureteropelvic
anastomosis with stent. The patient was discharged 1 week after surgery and the stent was removed 5 weeks later. 5 years after pyeloplasty, her renal function was normal and she had
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AUTHORS AND AFFILIATIONS * Department of Urology, Kosin University College of Medicine, Busan, Korea Jae Min Chung * Department of Pediatrics and Adolescent Medicine, Pusan National
University School of Medicine, Yangsan, Korea Su Yung Kim * Department of Urology, Pusan National University School of Medicine, Yangsan, Korea Sang Don Lee Authors * Jae Min Chung View
author publications You can also search for this author inPubMed Google Scholar * Su Yung Kim View author publications You can also search for this author inPubMed Google Scholar * Sang Don
Lee View author publications You can also search for this author inPubMed Google Scholar CORRESPONDING AUTHOR Correspondence to Sang Don Lee. ETHICS DECLARATIONS COMPETING INTERESTS The
authors declare no competing financial interests. RIGHTS AND PERMISSIONS Reprints and permissions ABOUT THIS ARTICLE CITE THIS ARTICLE Chung, J., Kim, S. & Lee, S. Delayed diagnosis of
ureteropelvic junction avulsion in a child owing to unstable hemodynamics. _Nat Rev Urol_ 6, 509–512 (2009). https://doi.org/10.1038/nrurol.2009.148 Download citation * Issue Date: September
2009 * DOI: https://doi.org/10.1038/nrurol.2009.148 SHARE THIS ARTICLE Anyone you share the following link with will be able to read this content: Get shareable link Sorry, a shareable link
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