medigraphic.com
Organo Oficial de la Sociedad Mexicana de Urología

2018, Number 1

<< Back Next >>

Rev Mex Urol 2018; 78 (1)

Spontaneous ureteral rupture: Report of three cases

Soto-Vega E, Casco S, Andrade D, Macip G, Garay J, Arroyo-Kuribreña JC

Language: Spanish
References: 11
Page: 34-39
PDF size: 413.43 Kb.


ABSTRACT

Background: Spontaneous rupture of the ureter is rare. It is associated with abdominal pain and should be considered the differential diagnosis in patients with renal colic with no apparent underlying cause. Stone impaction-retention at the ureteral wall has been thought to produce erosion and ulceration.
Clinical case: Three cases of spontaneous ureteral rupture with no apparent cause were presented herein. Double-J catheter was placed in two patients and open drainage was carried out in one patient to repair the rupture. Prophylaxis with ceftriaxone was given to prevent infection. The patients progressed satisfactorily. Control computed tomography urography identified no alterations or apparent additional complications.
Conclusions: Ureteral rupture is a rare alteration. Urinary retention, lymphoma, and chemotherapy have been suggested as possible causes of spontaneous rupture.


REFERENCES

  1. Chen GH, Hsiao PJ, Chang YH, et al. Spontaneous ureteral rupture and review of literature. Am J Emerg Med 2014;32(7):772-77.

  2. Pampana E, Altobelli S, Morini M, Ricci A, D’Onofrio S, Simonetti G. Case Report: Spontaneous Ureteral Rupture Diagnosis and Treatment. Case Rep Radiol. 2013;2013:851-859.

  3. Nouh A, Vela-Duarte D, Grobenly T, Hoganson G, Pasquale D, Biller J. Internal carotid artery dissection after a roller coaster ride in a 4-year-old: case report and review of the literature. Pediatr Neurol. 2015;52(3):349-351.

  4. Choi S, Lee S, Kim S, et al. A rare case of upper ureter rupture: ureteral perforation caused by urinary retention. Korean J Urol 2012;53:131-133.

  5. Eken A, Akbas T, Arpaci T. Spontaneous rupture of the ureter. Singapore Med J. 2015;56(2):e29-231.

  6. Deng F, Liu X, Li Y, et al. Ureteral obstruction by prostate cancer leads to spontaneous ureteric rupture: a case report. Int J Clin Exp Med. 2015;8(9):16842.

  7. Moak JH, Lyons MS, Lindsell CJ. Bedside renal ultrasound in the evaluation of suspected ureterolithiasis. Am J Emer Med. 2012;30(1);218-221.

  8. Brimo F, Vollmer RT, Case B, et al. Accuracy of urine cytology and the significance of an atypical category. Am J Clin Pathol 2009;132:785‑93.

  9. Lang EK, Glorioso L. Management of urinomas by percutaneous drainage procedures. Radiol Clin North Am 1986;24( 4):551-559.

  10. Akpinar H, Kural AR, Tüfek I, et al. Spontaneous ureteral rupture: is immediate surgical intervention always necessary? Presentation of four cases and review of the literature. J Endourol 2002;16:179-83.

  11. Goldwasser B, Huszar M, Hertz M, Jonas P, Nativ O, Many M. Ureterocutaneous fistulas secondary to urinary calculous disease. Urology 1985;25:71-73.




2020     |     www.medigraphic.com