Urogenital Tract

  • Nejd F. Alsikafi
  • Sean P. Elliott
  • Maurice M. Garcia
  • Jack W. McAninch


A 19-year-old patient is undergoing emergency exploration for a transabdominal gunshot wound. Multiple small bowel enterotomies are found along with a large zone II (perinephric) retroperitoneal hematoma. The hematoma is nonpulsatile and not expanding. The patient is hemodynamically stable. In addition to repair of the intestinal enterotomies, which of the following would be the most appropriate and immediate management step at this time?
  1. (A)

    Exploration of the zone II retroperitoneal hematoma

  2. (B)

    Nephrectomy without exploration of hematoma

  3. (C)

    Stent placement

  4. (D)

    Establishment of nephrostomy

  5. (E)

    Expectant management



Necrotizing Fasciitis Ureteral Stone Compute Tomog Urethral Stricture Ureteral Injury 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer Science+Business Media, LLC 2007

Authors and Affiliations

  • Nejd F. Alsikafi
    • 1
  • Sean P. Elliott
    • 2
  • Maurice M. Garcia
    • 2
  • Jack W. McAninch
    • 2
  1. 1.Department of UrologyUniversity of Chicago, Mount Sinai HospitalChicagoUSA
  2. 2.Department of UrologyUniversity of California San Francisco, San Francisco General HospitalSan FranciscoUSA

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