Spontaneous Rupture of Proximal Ureter: A Case Report

• DOI: 10.4274/jus.galenos.2018.2039
• Publication Date: 2019-03-14T07:19:32Z
• Authors: İlke Onur Kazaz; Ahmet Serdar Teoman; Fatih Çolak; Rasin Özyavuz
• Keywords: Rupture; Collecting system; 03 medical and health sciences; 0302 clinical medicine; RD1-811; Spontaneous; Surgery; RC870-923; Ureter; Diseases of the genitourinary system. Urology; 3. Good health

Spontaneous non-traumatic urinary collecting system ruptures without distal obstructive causes are rare and uncommon. They should be considered in the differential diagnosis of renal colic or acute abdomen. Here, we present a case of spontaneous rupture of the left proximal ureter with perirenal fluid extravasation without an identified cause. The patient was treated conservatively and in the first week, symptom improvement was shown by control imaging methods. Ureteral stent placement or percutaneous nephrostomy, even open surgery are options for the management of spontaneous rupture of the urinary collecting system, however, conservative management may be an option for selected patients.