Primary obstructive megaureter with ruptured kidney.
A 17-year-old boy presented to the emergency department for severe left flank pain and gross hematuria 1 hour after playing basketball without significant collision. Laboratory tests showed normal renal function and massive hematuria. Abdominal computed tomography scan disclosed a primary megaureter with ruptured kidney. We successfully treated him with ureteral stenting followed by endoscopic ureterotomy and ureteroneocystostomy.
Chung
Shiu-Dong
SD
Division of Urology, Department of Surgery, Far Eastern Memorial Hospital, Ban Ciao, Taipei 220, Taiwan.
Sun
Hsu-Dong
HD
Department of Gynecology and Obstetrics, Taipei Veterans General Hosptial, Taipei 111, Taiwan.
Yang
Den-Kai
DK
Divisions of Urology, Department of Surgery, Yon-Ho branch, Cardinal Tien Hospital, Taipei 234, Taiwan.
Liao
Chun-Hou
CH
Division of Urology, Department of Surgery, Cardinal Tien Hospital and College of Medicine, Fu-Jen Catholic University, Hsin Chuang, Taipei 242, Taiwan. Electronic address: liaoch22@so-net.net.tw.
D000293:Adolescent; D001265:Athletic Injuries / Q000000981:diagnostic imaging* / Q000628:therapy; D001490:Basketball / Q000293:injuries*; D006801:Humans; D007668:Kidney / Q000293:injuries*; D008297:Male; D012421:Rupture; D014057:Tomography, X-Ray Computed; D014517:Ureteral Obstruction / Q000209:etiology* / Q000628:therapy