Urogenital tract

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

Research output: Chapter in Book/Report/Conference proceedingChapter


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 languageEnglish (US)
Title of host publicationAcute Care Surgery
Subtitle of host publicationPrinciples and Practice
PublisherSpringer New York
Number of pages28
ISBN (Print)0387344705, 9780387344706
StatePublished - 2007


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