[Ureteral lesions caused by external trauma: diagnosis and treatment].

OBJECTIVES: We report our experience in the diagnosis and treatment of ureteral injury.

METHODS: Review of the experience in our hospital.

RESULTS: We describe two cases of complete rupture of the ureter from blunt and penetrating abdominal trauma that had been recognized late. A urinoma was the presenting feature in both cases. Treatment was by end-to-end anastomosis in the first case and by appendix interposition in the other case.

CONCLUSIONS: Ureteral injuries owing to abdominal trauma are usually silent. Veriform appendix interposition of the ureter is, in selected cases, a therapeutic option.