J Korean Soc Emerg Med.  2014 Oct;25(5):632-635. 10.0000/jksem.2014.25.5.632.

Non-traumatic Ureter Rupture Caused by a Urinary Tract Stone: A Case Report and Review of the Literature

Affiliations
  • 1Department of Emergency Medicine, School of Medicine, Keimyung University, Dongsan Medical Center, Daegu, Korea. emtaegu@dsmc.or.kr

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.

Keyword

Urinary calculi; Rupture; Ureter; Computed tomography
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