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KMID : 0385920140250050632
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Journal of the Korean Society of Emergency Medicine
2014 Volume.25 No. 5 p.632 ~ p.635
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Non-traumatic Ureter Rupture Caused by a Urinary Tract Stone: A Case Report and Review of the Literature
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Choi Woo-Ik
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Abstract
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Urinary retention or a urinary tract stone is rarely associated with ureter rupture. We report on a rare case of a ureter rupture caused by a urinary tract stone in a patient without traumatic history or underlying genitourinary disease. An 80-year-old male presented to the emergency department complaining of a sudden onset of left upper quadrant abdominal pain one hour earlier. He had a background of hypertension, old cerebral infarction, and unstable angina. He had no history of other trauma within the past several days. Abdominal computed tomography showed a stone at the left ureterovesical junction and a rupture at the left proximal ureter in the retroperitoneal cavity. Early identification by use of delayed phase (DP) computed tomography of a ureter rupture caused by a urinary tract stone may avoid a missed diagnosis and may prevent development of complication due to the ureter rupture. The clinical presentations and radiologic findings of a ureter rupture caused by a urinary tract stone are presented along with a review of the literature.
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KEYWORD
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Urinary calculi, Rupture, Ureter, Computed tomography
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