Ureteral Entrapment in an Associated Anterior Column and Posterior Hemitransverse Acetabular Fracture: A Case Report

A 59-year-old man was struck by an automobile resulting in left anterior column posterior hemitransverse acetabular fracture with ureteral entrapment. Open reduction internal fixation was performed with removal of the ureter from the fracture. At follow-up 7 months post-op, the patient did not repor...

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Bibliographic Details
Published inJBJS case connector Vol. 10; no. 2; p. e0472
Main Authors Ahmed, Adil S, Achors, Kyle G, Roberts, Michael S, Christensen, Joseph T, Mir, Hassan R
Format Journal Article
LanguageEnglish
Published United States 24.04.2020
Subjects
Accidents, Traffic
Acetabulum - diagnostic imaging
Acetabulum - injuries
Acetabulum - surgery
Fractures, Bone - complications
Fractures, Bone - diagnostic imaging
Fractures, Bone - surgery
Humans
Male
Middle Aged
Open Fracture Reduction - methods
Stents
Tomography, X-Ray Computed
Ureter - diagnostic imaging
Ureter - injuries
Urologic Surgical Procedures
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Summary:A 59-year-old man was struck by an automobile resulting in left anterior column posterior hemitransverse acetabular fracture with ureteral entrapment. Open reduction internal fixation was performed with removal of the ureter from the fracture. At follow-up 7 months post-op, the patient did not report significant hip or urinary symptoms, and implant position and fracture alignment remained intact. Surgeons should be mindful of possible ureteral injury associated with acetabular fractures. Awareness of this rare entrapment within medially displaced acetabular fractures may heighten clinical suspicion and improve management.
ISSN:2160-3251
DOI:10.2106/JBJS.CC.18.00472