Urogenital tract

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

doi:10.1007/978-0-387-69012-4_36

Urogenital tract

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

Urology

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Abstract

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? (A) Exploration of the zone II retroperitoneal hematoma (B) Nephrectomy without exploration of hematoma (C) Stent placement (D) Establishment of nephrostomy (E) Expectant management

Original language	English (US)
Title of host publication	Acute Care Surgery
Subtitle of host publication	Principles and Practice
Publisher	Springer New York
Pages	561-588
Number of pages	28
ISBN (Print)	0387344705, 9780387344706
DOIs	https://doi.org/10.1007/978-0-387-69012-4_36
State	Published - 2007

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AU - Elliott, Sean P.

AU - Garcia, Maurice M.

AU - McAninch, Jack W.

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Urogenital tract

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