title: Spontaneous rupture of the ureter.
abstract: Spontaneous rupture of the ureter is a very rare condition and usually results from ureteral obstruction by a calculus. Only theoretical mechanisms have been proposed and no possible explanation has yet been reported in the literature. Intravenous contrast-enhanced computed tomography is the most informative study with high sensitivity. Treatment should be individualised, and depends on the state of the patient. Minimally invasive endourological procedures with double-J catheter placement and percutaneous drainage offer excellent results. Conservative management with analgesics and antibiotic coverage may be an alternative to surgery. Herein, we present a case of spontaneous rupture of the proximal ureter with no evidence of an underlying pathological condition.
authors.affiliation: Urology Department, Acıbadem Hastanesi, Cumhuriyet Caddesi, 01130 Adana, Turkey. alpereken@yahoo.com.
authors.forename: Alper
authors.initials: A
authors.lastname: Eken
authors.forename: Tugana
authors.initials: T
authors.lastname: Akbas
authors.forename: Taner
authors.initials: T
authors.lastname: Arpaci
mesh_terms: D000328:Adult; D003287:Contrast Media / Q000737:chemistry; D006801:Humans; D008297:Male; D012422:Rupture, Spontaneous; D015607:Stents; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000293:injuries*; D014517:Ureteral Obstruction; D014546:Urinary Catheterization; D062885:Urinary Catheters
chemical_list: D003287:Contrast Media