ureter

[BiscayneBlvd]

i was going through some kaplan videos and have a question.

lets say that you are in an automobile accident and you injure your ureter, what is the most likely cause?

a. pelvic brim
b. umbilical vein
c. psoas muscle
d. external iliac artery

i dont know the answer so i'm hoping someone can give me insight.

I would think it would be the pelvic brim b/c everything else is crossed by the ureter

[md90]

you are in an automobile accident and you injure your ureter, what is the most likely cause?
a. pelvic brim
b. umbilical vein
c. psoas muscle
d. external iliac artery

The external external iliac artery runs laterally, and comes off the common iliac artery as the ureter reaches the bladder; the pelvic brim has the psoas major muscle, and the psoas minor tendon on top then near to it is the ureter; I don't remember the umbilical vein placement... but I have to go with: C) psoas muscle.


Any thoughts from anyone else in the forum??? thank you.

[dpg]

The answer here is pelvic brim. Fracture of the boney pelvic brim could sever the ureter. The other structures there are soft structures and by that I mean softer than the ureter.


Drew

[ed222]

Makes sense, it needs something sharp to cut the elastic connective tissue.

[sarda]

A......................

[dianasor]

of course its A

[AUCMD2006]

follow up question: when the ureter is damaged, other than primary repair, how can you repair the ureter?

[krishna reddy]

its confusing

[GFLIP]

I would say the answer is definitely A -- b/c of the ureteropelvic junction...

The ureteropelvic junction is also a common lodging point for renal stones.