Spontaneous rupture of the ureter.
- Author:
Alper EKEN
1
;
Tugana AKBAS
;
Taner ARPACI
Author Information
1. Urology Department, Acıbadem Hastanesi, Cumhuriyet Caddesi, 01130 Adana, Turkey. alpereken@yahoo.com.
- Publication Type:Case Reports
- MeSH:
Adult;
Contrast Media;
chemistry;
Humans;
Male;
Rupture, Spontaneous;
Stents;
Tomography, X-Ray Computed;
Ureter;
injuries;
Ureteral Obstruction;
Urinary Catheterization;
Urinary Catheters
- From:Singapore medical journal
2015;56(2):e29-31
- CountrySingapore
- Language:English
-
Abstract:
Spontaneous rupture of the ureter is a very rare condition and usually results from ureteral obstruction by a calculus. Only theoretical mechanisms have been proposed and no possible explanation has yet been reported in the literature. Intravenous contrast-enhanced computed tomography is the most informative study with high sensitivity. Treatment should be individualised, and depends on the state of the patient. Minimally invasive endourological procedures with double-J catheter placement and percutaneous drainage offer excellent results. Conservative management with analgesics and antibiotic coverage may be an alternative to surgery. Herein, we present a case of spontaneous rupture of the proximal ureter with no evidence of an underlying pathological condition.
