title: [Post traumatic rupture in patients with uretero pelvic junction obstruction. Case report].
abstract: Authors report a case of post traumatic pelvic rupture occurring in an unknown ureteropelvic junction (UPJ) obstruction. Ultrasonography showed pyelectasia and fluid effusion in the anterior perirenal space. CT scan confirmed the diagnosis of UPJ obstruction and showed the rupture of the anterior pelvic wall communicating with a perirenal urinoma. The patient underwent a retrograde stenting for decompression and surgical drainage of the urinoma. Pyeloplasty was performed 4 months after injury. A follow up intravenous pyelogram showed good flow through the repair and the patient remaines asymptomatic 2 years after treatment. Post traumatic rupture of UPJ obstruction is a rare event with few reported cases in literature. Diagnosis is suggested on imaging studies. CT scan shows the rupture site in the ureteropelvic tract and guides percutaneous drainage.
authors.affiliation: Service d'Imagerie Médicale, Hôpital Charles Nicolle, Tunis.
authors.forename: Hatem
authors.initials: H
authors.lastname: Rajhi
authors.forename: Habiba
authors.initials: H
authors.lastname: Mizouni
authors.forename: Amine
authors.initials: A
authors.lastname: Ayed
authors.forename: Mohamed
authors.initials: M
authors.lastname: Sfaxi
authors.forename: Mohsen
authors.initials: M
authors.lastname: Ayed
authors.forename: Radhi
authors.initials: R
authors.lastname: Hamza
mesh_terms: D000328:Adult; D006801:Humans; D007682:Kidney Pelvis / Q000293:injuries* / Q000601:surgery; D008297:Male; D012421:Rupture; D014517:Ureteral Obstruction / Q000150:complications* / Q000175:diagnosis / Q000601:surgery