Non-traumatic Ureter Rupture Caused by a Urinary Tract Stone: A Case Report and Review of the Literature.
- Author:
Woo Ik CHOI
1
Author Information
1. Department of Emergency Medicine, School of Medicine, Keimyung University, Dongsan Medical Center, Daegu, Korea. emtaegu@dsmc.or.kr
- Publication Type:Case Report
- Keywords:
Urinary calculi;
Rupture;
Ureter;
Computed tomography
- MeSH:
Abdominal Pain;
Aged, 80 and over;
Angina, Unstable;
Cerebral Infarction;
Diagnosis;
Emergency Service, Hospital;
Humans;
Hypertension;
Male;
Rupture*;
Ureter*;
Urinary Calculi*;
Urinary Retention
- From:Journal of the Korean Society of Emergency Medicine
2014;25(5):632-635
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Urinary retention or a urinary tract stone is rarely associated with ureter rupture. We report on a rare case of a ureter rupture caused by a urinary tract stone in a patient without traumatic history or underlying genitourinary disease. An 80-year-old male presented to the emergency department complaining of a sudden onset of left upper quadrant abdominal pain one hour earlier. He had a background of hypertension, old cerebral infarction, and unstable angina. He had no history of other trauma within the past several days. Abdominal computed tomography showed a stone at the left ureterovesical junction and a rupture at the left proximal ureter in the retroperitoneal cavity. Early identification by use of delayed phase (DP) computed tomography of a ureter rupture caused by a urinary tract stone may avoid a missed diagnosis and may prevent development of complication due to the ureter rupture. The clinical presentations and radiologic findings of a ureter rupture caused by a urinary tract stone are presented along with a review of the literature.
