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| Spontaneous distal ureteric rupture: A rare case report and review of literature |
Li Sian Low( ),Shiva Madhwan Nair
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| Urology Department, Waikato Hospital, Hamilton, Waikato, New Zealand |
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Abstract Spontaneous rupture of the ureter is a very interesting and unusual phenomenon which normally occurs due to ureteral obstruction. We present a case of spontaneous rupture of the distal ureter, secondary to a ureteric calculus. Our patient presented with a history of acute on chronic abdominal pain and was septic on arrival to hospital.
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Received: 19 August 2018
Available online: 07 March 2019
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Corresponding Authors:
Li Sian Low
E-mail: low130@hotmail.com
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High resolution sagittal T2 weighted magnetic resonance imaging showing the urinoma (star) and the ureteric wall disruption (white arrow). The stone (black arrow) and bladder with an in dwelling urinary catheter (red arrow) are highlighted.
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Delayed contrast enhanced computed tomography 2 days following the magnetic resonance imaging showing the posterior displacement of the stone (black arrow) and the urinoma (star). The site of the rupture is highlighted (white arrow).
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Nephrostogram obtained 3 days following percutaneous nephrostomy tube (arrow) insertion and drainage of pelvic/retroperitoneal collection, showing ureteric disruption with extravasation of contrast (star).
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Chen GH, Hsiao PJ, Chang YH, Chen CC, Wu HC, Yang CR , et al. Spontaneous ureteral rupture and review of the literature. Am J Emerg Med 2014; 32:772-4.
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Pace K, Spiteri K, German K . Spontaneous proximal ureteric rupture secondary to ureterolithiasis. J Surg Case Rep 2016; 11:1-3.
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Eken A, Akbas T, Arpaci T . Spontaneous rupture of the ureter. Singap Med J 2015; 56:29-31.
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