Blunt Trauma Due to an Automobile Accident with Isolated Injury of the Middle Ureter: A Case Report

Ureteral injuries due to blunt abdominal trauma are rare and represent a diagnostic and therapeutic challenge, with significant morbidity if not promptly identified. An 81-year-old male presented with right flank pain following a side-impact car accident. A contrast-enhanced CT scan revealed a partial rupture of the right mid-ureter with contrast extravasation. The patient underwent endoscopic placement of a double-J ureteral stent with favorable clinical evolution. Over a seven-year follow-up, the patient remained asymptomatic, with preserved renal function and no urological complications. This case highlights the importance of early imaging with delayed-phase CT for ureteral trauma evaluation in stable patients. Minimally invasive management proved effective even in an elderly patient, supporting its use in moderate-grade injuries. Prompt recognition and endoscopic treatment of blunt ureteral trauma can lead to excellent long-term outcomes, preserving renal function and avoiding serious complications.