10/06/2025
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Trauma to the urinary tract can affect any component, including the kidneys, ureters, bladder, or urethra. Although relatively uncommon, injuries to these structures—particularly those resulting in urine leakage into the peritoneal cavity—can quickly lead to severe electrolyte imbalances, metabolic disturbances, and death if left untreated.
Diagnosis can be challenging in acute trauma cases, as physical examination findings are often nonspecific and may lag behind the onset of injury. However, early recognition of uroabdomen, prompt medical stabilization, and temporary urinary diversion are critical to achieving a successful outcome.
Imaging is often essential for accurately identifying the location and extent of urinary tract injury before surgical intervention. Importantly, surgical repair is not typically considered an emergency if the patient can be stabilized medically.
This presentation aims to guide you through the recognition of urinary tract injuries, the confirmation of a uroabdomen diagnosis, and the therapeutic strategies that support optimal patient outcomes.
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