Ureteric Transection with Jejunal Injury Secondary to Bicycle Handle Bar Penetrating Injury in a 13 Year Old Boy
Published: 2023-03-25
Page: 21-26
Issue: 2023 - Volume 6 [Issue 1]
Ojas Vijayanand Potdar
*
Grant Medical College and J. J. Group of Hospitals, Mumbai, India.
Mohammed Ayub Karamnabi Siddiqui
Grant Medical College and J. J. Group of Hospitals, Mumbai, India.
Vivek Shaw
Grant Medical College and J. J. Group of Hospitals, Mumbai, India.
Kaustubh Vaidya
Grant Medical College and J. J. Group of Hospitals, Mumbai, India.
Prashant Sarawade
Grant Medical College and J. J. Group of Hospitals, Mumbai, India.
Shashank Sharma
Grant Medical College and J. J. Group of Hospitals, Mumbai, India.
Amrita Patkar
Bharatratna Dr. Babasaheb Ambedkar Municipal General Hospital, Kandivali (W.), Mumbai, Maharashtra, India.
*Author to whom correspondence should be addressed.
Abstract
Background: Ureteric trauma is rare, occurring in <1% of all traumas. Bicycle handlebar injury is a unique trauma mechanism especially noticed in childhood.
Case Presentation: We present a unique case of a 13-year-old male who sustained a penetrating abdominal injury from a bicycle handlebar. Upon initial examination there was herniation of bowel through the abdominal wound, so exploratory laparotomy was performed. There was transection of the jejunum at a distance of 10 cm from the duodeno-jejunal flexure with more than 75 % of the circumference of the jejunum and there was transection of the upper one third of left ureter near the left renal pelvis with foreign body (child’s cloth remnant) seen which was initially managed by placement of an infant feeding tube as a bridge between the two transected ends owing to a defect of 3 cm as a temporary emergency salvage procedure. He then underwent per cutaneous nephrostomy insertion. After 3 months, patient underwent definitive repair by left sided pyeloureterostomy over a DJ stent.
Conclusion: This case demonstrates the emergency and delayed definitive management of ureteric transection and jejunal injury secondary to penetrating bicycle handlebar injury.
Keywords: Ureter, jejunal, bicycle, handlebar, penetrating