Beyond The Stitched Wound-Duodenal Perforation and Right Ureteric Injury in Penetrating Trauma Over Back

Dr. J G Vagadiya, Dr. Pooja Patel

Abstract: Stab wounds over the posterior abdomen are particularly concerning because they may traverse the retroperitoneum and involve vital structures such as the kidneys, ureters, pancreas and adrenal, major vessels, and bowel. Such injuries can cause unpredictable internal damage due to variable wound trajectory. A young male patient came with assaulted penetrating stab injuries to the back, subsequent abdominal tenderness, prompting emergency exploratory laparotomy. Intraoperative findings revealed a right ureteric injury that was successfully repaired with right side ureteric repair and DJ stenting. Combined duodenal perforation with ureteric injury is rare and requires high index of suspicion, timely diagnosis, and prompt surgical intervention. Delay in diagnosis can lead to urinoma, sepsis, loss of renal function, and the need for complex reconstruction. Early recognition and appropriate surgical intervention significantly improve outcomes. Management of ureteric trauma depends on the mechanism, hemodynamic stability and grade of injury. While non-operative management has become the standard for many blunt injuries, penetrating renal trauma often requires surgical exploration due to potential vascular injury, collecting system disruption or ongoing bleeding.

Keywords: Ureteric injury, Duodenal perforation, Double-J (DJ) stenting, Combined visceral injury, Early surgical intervention, Multidisciplinary management

How to Cite?: Dr. J G Vagadiya, Dr. Pooja Patel, "Beyond The Stitched Wound-Duodenal Perforation and Right Ureteric Injury in Penetrating Trauma Over Back", Volume 15 Issue 1, January 2026, International Journal of Science and Research (IJSR), Pages: 411-414, https://www.ijsr.net/getabstract.php?paperid=MR26106205107, DOI: https://dx.doi.org/10.21275/MR26106205107