title: Spontaneous perforation of the ureter: endourological management with renal preservation.
abstract: Spontaneous perforation of the ureter proximal to an obstruction has not been well described in the literature. We present a rare case of spontaneous perforation of the ureter, proximal to a radiolucent upper ureteric stone, in a 58-year-old diabetic female, causing a large infected urinoma and septicaemia in a solitary functioning kidney. The diagnosis was confirmed by computer tomography scan. We managed the case successfully by endourology only. The case emphasizes the importance of the differential diagnosis in a diabetic patient with obstructive uropathy.
authors.affiliation: Department of Urology, Sanjay Gandhi Postgraduate Institute of Medical Sciences, Lucknow, India.
authors.forename: M C
authors.initials: MC
authors.lastname: Goel
authors.forename: R
authors.initials: R
authors.lastname: Ramanathan
authors.forename: G
authors.initials: G
authors.lastname: Banerjee
authors.forename: R
authors.initials: R
authors.lastname: Ahlawat
authors.forename: R
authors.initials: R
authors.lastname: Kapoor
mesh_terms: D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging; D008875:Middle Aged; D012422:Rupture, Spontaneous / Q000175:diagnosis / Q000209:etiology / Q000628:therapy; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000000981:diagnostic imaging; D014514:Ureteral Calculi / Q000150:complications / Q000000981:diagnostic imaging; D014515:Ureteral Diseases / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D001743:Urinary Bladder / Q000000981:diagnostic imaging; D014567:Urography