Spontaneous ureteral rupture: A rare case report and review of literature.

Radiol Case Rep

Department of Urology, Mohammed VI University Medical Center, Faculty of Medicine and Pharmacy, Mohammed the First University, Oujda, Morocco.

Published: April 2025

Spontaneous rupture of the ureter is a very rare condition from ureteral obstruction especially if it is a small stone located distally. A 67-year-old man with abdominal pain associated with vomiting, Caused by a ureteral rupture due to a 5 mm obstructing stone at the vesicoureteral junction. The diagnosis was confirmed by CT imaging. The treatment involved antibiotics and double-J stenting. This case demonstrates that spontaneous ureteral rupture should be suspected in urolothiasis patients presenting for a severe pain even if the calculus is small and the laboratory markers are normal. An immediate management is required to prevent further complications.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC11880888PMC
http://dx.doi.org/10.1016/j.radcr.2025.01.044DOI Listing

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