Τίτλος:
Spontaneous perforation of the ureter: Clinical presentation and endourologic management
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
Background and Purpose: Spontaneous perforation of the upper ureter is a rare condition that poses diagnostic and therapeutic problems. We report on five cases from three institutions and discuss the literature. Patients and Methods: Five patients presented with renal colic and the imaging modalities used to assess them showed extravasation of urine. Results: The cause of spontaneous perforation of the ureter was a ureteral stone in one case and was unknown in four cases. In all cases, a Double-J ureteral stent was inserted under fluoroscopy. Urinoma was percutaneously drained in only one patient. Repeat imaging showed normal renal function and morphology in all patients. Conclusion: Spontaneous perforation of the ureter should be suspected after renal colic. Endourologic treatment offers excellent results, even for the management of acute complications. © 2008 Mary Ann Liebert, Inc.
Συγγραφείς:
Stravodimos, K.
Adamakis, I.
Koutalellis, G.
Koritsiadis, G.
Grigoriou, I.
Screpetis, K.
Constantinides, C.
Zervas, A.
Περιοδικό:
Journal of Endourology Case Reports
Λέξεις-κλειδιά:
aged; article; clinical article; clinical examination; clinical feature; computer assisted tomography; echography; endourology; extravasation; female; fluoroscopy; human; intravenous urography; kidney colic; laboratory test; male; morphology; perforation; priority journal; ureter; ureter stent; ureter stone; urine; urinoma, Aged; Female; Humans; Male; Middle Aged; Rupture, Spontaneous; Stents; Ureteral Diseases; Urology
DOI:
10.1089/end.2007.0196