Abstract
Spontan üreter rüptürü, travma ya da öncesinde uygulanan herhangi bir girişim olmaksızın üreterden ekstraluminal idrar sızıntısı ile karakterize, nadir görülen bir ürolojik acildir. Klinik bulguları sıklıkla diğer cerrahi patolojilerle karışabileceğinden tanıda gecikmelere yol açabilir. Bu yazıda, önceden nefrolitiyazis öyküsü bulunan ve akut sol yan ve abdominal ağrı ile başvuran 24 yaşındaki bir erkek olgu sunulmaktadır. Kontrastlı bilgisayarlı tomografide üreterin proksimal düzeyinde kontrast ekstravazasyonu ve belirgin perirenal sıvı birikimi saptanmasıyla üreter rüptürü tanısı konulmuştur. Hasta acil cerrahi müdahaleye alınmış ve 6 Fr double-J stent yerleştirilmiştir. Postoperatif süreci sorunsuz seyretmiş ve hasta birinci gününde stabil durumda taburcu edilmiştir. Bu olgu ani gelişen abdominal ağrı ya da yan ağrısının ayırıcı tanısında spontan üreter rüptürünün mutlaka göz önünde bulundurulması gerektiğini vurgulamaktadır. Erken görüntüleme ve zamanında gerçekleştirilen girişim, optimal klinik sonuçların elde edilmesinde kritik öneme sahiptir.
References
- Schwartz A, Caine M, Hermann G, Bittermann W. Spontaneous renal extravasation during intravenous urography. Am J Roentgenol Radium Ther Nucl Med. 1966;98(1):27-40.
- El Alaoui A, Ouraghi A, Salem HD, El Moudane A, Barki A. Spontaneous ureteral rupture: A rare case report and review of literature. Radiol Case Rep. 2025;20(4):2210- 2212.
- Chen GH, Hsiao PJ, Chang YH, et al. Spontaneous ureteral rupture and review of the literature. Am J Emerg Med. 2014;32(7):772-774.
- Pampana E, Altobelli S, Morini M, Ricci A, D'Onofrio S, Simonetti G. Spontaneous ureteral rupture diagnosis and treatment. Case Rep Radiol. 2013;2013:851859.
- Gershman B, Kulkarni N, Sahani DV, Eisner BH. Causes of renal forniceal rupture. BJU Int. 2011;108(11):1909- 1912.
- Yitik AY, Çelen S, Ufuk F. An unusual complication of urinary stone disease: Spontaneous ureteral rupture. Am J Emerg Med. 2020;38(5):1047.e3-1047.e5
Abstract
Spontaneous ureteral rupture is an uncommon urological emergency characterized by the extraluminal leakage of urine in the absence of trauma or prior instrumentation. It may be mistaken for other surgical conditions. We report the case of a 24-year-old male with a history of nephrolithiasis who presented with acute left flank and abdominal pain. Contrast-enhanced computed tomography revealed proximal ureteral contrast extravasation and a sizable perirenal fluid collection, consistent with ureteral rupture. The patient underwent urgent surgical intervention, and a 6 Fr double-J stent was placed. Postoperative recovery was uneventful, and the patient was discharged in stable condition on postoperative day one.
This case highlights the need to include spontaneous ureteral rupture in the differential diagnosis of acute abdominal or flank pain. Early imaging and timely urologic intervention are pivotal in achieving optimal clinical outcomes.
References
- Schwartz A, Caine M, Hermann G, Bittermann W. Spontaneous renal extravasation during intravenous urography. Am J Roentgenol Radium Ther Nucl Med. 1966;98(1):27-40.
- El Alaoui A, Ouraghi A, Salem HD, El Moudane A, Barki A. Spontaneous ureteral rupture: A rare case report and review of literature. Radiol Case Rep. 2025;20(4):2210- 2212.
- Chen GH, Hsiao PJ, Chang YH, et al. Spontaneous ureteral rupture and review of the literature. Am J Emerg Med. 2014;32(7):772-774.
- Pampana E, Altobelli S, Morini M, Ricci A, D'Onofrio S, Simonetti G. Spontaneous ureteral rupture diagnosis and treatment. Case Rep Radiol. 2013;2013:851859.
- Gershman B, Kulkarni N, Sahani DV, Eisner BH. Causes of renal forniceal rupture. BJU Int. 2011;108(11):1909- 1912.
- Yitik AY, Çelen S, Ufuk F. An unusual complication of urinary stone disease: Spontaneous ureteral rupture. Am J Emerg Med. 2020;38(5):1047.e3-1047.e5
Details
| Primary Language | English |
|---|---|
| Subjects | Health Services and Systems (Other) |
| Journal Section | Case Reports |
| Authors | |
| Publication Date | August 25, 2025 |
| Submission Date | April 22, 2025 |
| Acceptance Date | June 19, 2025 |
| Published in Issue | Year 2025 Volume: 27 Issue: 2 |
Cite
This Journal is a Publication of Kırıkkale University Faculty of Medicine.