ISOLATED URETEROPELVIC JUNCTION (UPJ) LACERATION FOLLOWING BLUNT BODY TRAUMA

The purpose of the study is to investigate the radiologic and clinical treatment methods following the rarely seen UPJ laseration due to blunt body trauma. In this study there are eight patients with isolated UP J laseration, admitted to Gulhane Military Medicine Academy, Fýrat University Medical Faculty Urology department, and Elazýð Military Hospital Urology Service. They are one child (12 years old) and 7 adults (6 male, 1 female) ranged 18-61 years old. Abdominal USG (Ultrasonography), IVP(Intravenous Pyelograpy), abdominal CT(Computed Tomography), and retrograde-antegrade pyelography were used for diagnosis. They were treated with percutaneous nephrostomy, double J stent implantation and reconstructive open surgical procedures. All patient were cured with the culmination of urinary extravasation and ureteropelvic patency.

KÜNT VÜCUT TRAVMALARINI TAKÝBEN ÝZOLE ÜRETEROPELVÝK BÝLEÞKE (UPJ) YARALANMALARI

Çalýþmada künt vücut travmalarýný takiben nadiren ortaya çýkan üreteropelvik bileþke yaralanmalarýnda radyolojik deðerlendirme aþamalarý ve klinik tedavi yaklaþýmlarýnýn incelenmesi amaçlandý ve 1995-2000 Ocak arasýnda GATA Üroloji AD, Fýrat Üniversitesi Týp Fakültesi Araþtýrma Hastanesi Üroloji AD, Elazýð Asker Hastanesi Üroloji Servisine baþvuran, künt batýn travmalarý olan hastalardan üreteropelvik bileþkenin tek baþýna yaralandýðý 8 hasta yer aldý. Vakalar 1 çocuk (12 yaþlarýnda) ve 7 eriþkin hastayý içeriyordu (1 kadýn, 6 erkek, 18-62 yaþ arasý). Hastalarda tanýda abdominopelvik USG(Ultrasonografi), IVP (Ýntravenöz Pyelografi), abdominopelvik CT(Bilgisayarlý Tomografi) ve retrograd-antegrad pyelografi kullanýldý. Hastalar perkütan nefrostomi, antegrad ve retrograd double j kateter uygulamalarý ve rekonstriktif açýk cerrahi uygulamalarý ile tedavi edildiler. Hastalarda extravazasyonun ortadan kalkmasý ve üreteropelvik geçiþin saðlanmasý ile tam tedavi saðlandý.