BİR MİLİMETRİK ÜRETER ALT UÇ TAŞINA BAĞLI HIZLI GELİŞEN SPONTAN RENAL PELVİS RÜPTÜRÜ Fast Developing Spontaneous Renal Pelvis Rupture Due to One Mlilimeter Sized Distal Ureter Stone

Yıl 2019, Cilt: 9 Sayı: 4, 177 - 179, 27.12.2019

Abdullah Gürel Sercan Sarı , Volkan Selmı Ünal Öztekin Muhittin Atar

Öz

ÖZET
Renal pelvis ve üreterin spontan rüptürü nadir görülen bir durumdur. Vakamız daha önce ürolojik operasyon
ve taş öyküsü olmayan 63 yaşında sağlıklı bir erkek hasta idi. Ani başlayan sağ yan ağrısı sonrası çekilen kontrastsız
bilgisayarlı tomografide (BT) sağ üreter alt uçta 1 milimetrelik (mm) taş ve renal pelvis düzeyinde grade
1 hidronefroz tespit edilen hastanın 24 saat içinde ağrılarının ani artması ve akut batın muayene bulguları gelişmesi
nedenli hastaya Kontrastlı BT çekildi ve üreter alt uçta izlenen 1 mm lik taşa sekonder gelişen spontan
renal pelvis rüptürü tanısı konuldu. Hastaya retrograt üreteral stent yerleştirildi. Hasta tedaviye dramatik yanıt
verdi. Olgu eşliğinde tanı ve tedavi yaklaşımları tartışıldı.
Anahtar Kelimeler: Bir milimetre; Spontan pelvis rüptürü; Üreter taşı
ABSTRACT
Spontaneous renal pelvis and ureter rupture is rare. In our study we reported a 63-year-old male patient who
had no previous history of urological operation and urinary system stone.
He had right flank pain. In the non-contrast computerized tomography(CT) one millimeter(mm) stone was
detected in the right distal ureter. Grade 1 hydronephrosis was present in the right renal pelvis. 24 hours later,
patient had increasing pain and acute abdominal pain. Contrast enhanced CT was performed and spontaneous
renal pelvis rupture secondary to 1 mm distal ureter stone was detected. Retrograde ureteral double J stent
was inserted into the right ureter. The patient responded dramatically to this intervention.
Spontaneous ureter rupture may occur with acute abdominal pain symptoms. After making differential
diagnosis, dramatical responses are available with immediate minimal invasive treatment methods
Keywords: One milimeter; Spontaneous pelvis rupture; Ureter stone

Anahtar Kelimeler

BİR MİLİMETRİK ÜRETER ALT UÇ TAŞINA BAĞLI HIZLI GELİŞEN SPONTAN RENAL PELVİS RÜPTÜRÜ Fast Developing Spontaneous Renal Pelvis Rupture Due to One Mlilimeter Sized Distal Ureter Stone

Kaynakça

• 1. 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.(1-4) 2. Huri E, Ayyildiz A, Nuhoğlu B, Germiyanoğlu C. Spontaneous rupture and emergency repairment of the renal pelvis. Int Urol Nephrol. 2007;39(2):413-5. 3. Ashebu SD, Elshebiny YH, Dahniya MH. Spontaneous rupture of the renal pelvis. Australas Radiol. 2000;44(1):125-7. 4. Pace K, Spiteri K, German K. Spontaneous proximal ureteric rupture secondary to ureterolithiasis. J Surg Case Rep. 2017 9;2016(11).(1-3) 5. Díaz ES, Buenrostro FG. Renal pelvis spontaneous rupture secondary to ureteral lithiasis. Case report and bibliographic review. Arch Esp Urol 2011;64(7):640-2. 6. Zhang H, Zhuang G, Sun D, Deng T, Zhang J. Spontaneous rupture of the renal pelvis caused by upper urinary tract obstruction: A case report and review of the literature. Medicine 2017;96(50). 7. Akpinar H, Kural AR, Tüfek I, Obek C, Demirkesen O, Solok V et al. Spontaneous ureteral rupture: is immediate surgical intervention always necessary? Presentation of four cases and review of the literature. J Endourol.2002;16(3):179-83.