{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,15]],"date-time":"2025-10-15T17:49:47Z","timestamp":1760550587626,"version":"3.44.0"},"reference-count":5,"publisher":"BMJ","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Reports"],"accepted":{"date-parts":[[2018,5,25]]},"abstract":"<jats:p>Presented here is the case of an 86-year-old man who was found to have right-sided pelvicalyceal rupture and anuric renal failure, secondary to obstructive uropathy caused by life-saving extraperitoneal pelvic packing (EPP) in the settling of severe trauma. In efforts to control haemorrhage in this haemodynamically unstable patient, EPP placement deviated from the recognised method of three extraperitoneal packs bilaterally with seven surgical packs placed. Progress postoperative imaging revealed right-sided hydroureteronephrosis with obstruction evident at the level of the extraperitoneal pelvic packs, identified by delayed contrast excretion from the preceding CT angiography imaging. Urology performed bilateral retrograde pyelograms at his relook laparotomy, timed after removal of his extraperitoneal packs and haemostasis, which showed impression of the surgical pack on the distal ureter but no persisting obstruction or short-term complications. Anuric renal failure improved, and renal function returned to near premorbid levels on day 4 postoperatively.<\/jats:p>","DOI":"10.1136\/bcr-2018-224910","type":"journal-article","created":{"date-parts":[[2018,6,21]],"date-time":"2018-06-21T00:05:17Z","timestamp":1529539517000},"page":"bcr-2018-224910","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":1,"title":["Renal pelvicalyceal rupture secondary to extraperitoneal pelvic packing (EPP) in the unstable trauma patient"],"prefix":"10.1136","volume":"2018","author":[{"given":"Margaret Mary","family":"Mansbridge","sequence":"first","affiliation":[{"name":"Urology, Gold Coast University Hospital, Southport, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Edward Ramez","family":"Latif","sequence":"additional","affiliation":[{"name":"Urology, Gold Coast University Hospital, Southport, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lobsang Tenzin","family":"Lamdark","sequence":"additional","affiliation":[{"name":"Trauma, Gold Coast University Hospital, Southport, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Martin","family":"Wullschleger","sequence":"additional","affiliation":[{"name":"Trauma, Gold Coast University Hospital, Southport, Queensland, Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"239","published-online":{"date-parts":[[2018,6,20]]},"reference":[{"key":"2025082804371041000_2018.jun20_1.bcr-2018-224910.1","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s13049-016-0196-5","article-title":"Preperitoneal pelvic packing in patients with hemodynamic instability due to severe pelvic fracture: early experience in a Korean trauma center","volume":"24","author":"Jang","year":"2016","journal-title":"Scand J Trauma Resusc Emerg Med"},{"key":"2025082804371041000_2018.jun20_1.bcr-2018-224910.2","first-page":"CMTIM.S12257","article-title":"The Role of Pelvic Packing for Hemodynamically Unstable Pelvic Ring Injuries","volume":"6","author":"Lustenberger","year":"2015","journal-title":"Clinical Medicine Insights: Trauma and Intensive Medicine"},{"key":"2025082804371041000_2018.jun20_1.bcr-2018-224910.3","doi-asserted-by":"publisher","DOI":"10.1097\/TA.0b013e31823dca9a"},{"key":"2025082804371041000_2018.jun20_1.bcr-2018-224910.4","doi-asserted-by":"publisher","DOI":"10.4103\/0974-2700.106321"},{"key":"2025082804371041000_2018.jun20_1.bcr-2018-224910.5","doi-asserted-by":"crossref","first-page":"2338","DOI":"10.1007\/s11999-014-3693-8","article-title":"Classifications in brief: young and burgess classification of pelvic ring injuries","volume":"472","author":"Alton","year":"2014","journal-title":"Clin Orthop Relat Res"}],"container-title":["BMJ Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1136\/bcr-2018-224910","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,8,28]],"date-time":"2025-08-28T11:37:17Z","timestamp":1756381037000},"score":1,"resource":{"primary":{"URL":"https:\/\/casereports.bmj.com\/lookup\/doi\/10.1136\/bcr-2018-224910"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,6,20]]},"references-count":5,"alternative-id":["10.1136\/bcr-2018-224910"],"URL":"https:\/\/doi.org\/10.1136\/bcr-2018-224910","relation":{},"ISSN":["1757-790X"],"issn-type":[{"type":"electronic","value":"1757-790X"}],"subject":[],"published":{"date-parts":[[2018,6,20]]}}}