Article ; Online: Spontaneous Ureteric Rupture and Its Implications in the Emergency Department: A Case Report.
Clinical practice and cases in emergency medicine
2021 Volume 5, Issue 2, Page(s) 167–170
Abstract: Introduction: Spontaneous ureteric rupture is uncommon and has a wide range of presentations. Accurate diagnosis and timely treatment is necessary to avoid potential serious complications.: Case report: We present the case of a 55-year-old female who ...
Abstract | Introduction: Spontaneous ureteric rupture is uncommon and has a wide range of presentations. Accurate diagnosis and timely treatment is necessary to avoid potential serious complications. Case report: We present the case of a 55-year-old female who presented with severe right lower abdominal pain with rebound tenderness, vomiting, and a single episode of hematuria. A computed tomography with intravenous contrast of the abdomen and pelvis showed a 0.3-centimeter right upper ureteric calculus, with hydronephrosis and ureteric rupture. In view of the scan findings, a diagnosis of spontaneous ureteric rupture secondary to urolithiasis was made. The patient underwent a percutaneous nephrostomy and ureteric stenting. Conclusion: Spontaneous rupture of the ureter is an uncommon diagnosis for which clinical and laboratory signs may not always be reliably present. A high index of suspicion is required for diagnosis, which is usually confirmed on advanced imaging. It may occur in serious complications of urinoma and abscess formation. As such, accurate diagnosis and timely treatment is crucial. |
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Language | English |
Publishing date | 2021-08-26 |
Publishing country | United States |
Document type | Journal Article |
ISSN | 2474-252X |
ISSN (online) | 2474-252X |
DOI | 10.5811/cpcem.2021.2.50652 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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