(NDP29) Spontaneous ureteral rupture: A Case Report
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  • 2015-11-29,
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自發性輸尿管破裂: 病例報告
王世鋒、洪巨軒、羅華安
國泰綜合醫院 外科部 泌尿科
Spontaneous ureteral rupture: A Case Report
Shih-Feng Wang, Chu-Hsuan Hung, Wah-On Lo
Divisions of Urology, Department of Surgery, Cathay General Hospital, Taipei, Taiwan
 
Introduction:
Ureteral rupture usually results from traumatic, iatrogenic, or tumor-induced tear and leads to urinary extravasation. Spontaneous rupture is rare. Patients may presented with sudden onset abdominal or flank pain. Image studies often showed perirenal fluid accumulation.
Case Report:
We reported a healthy female patient with an initial presentation of sudden flank soreness and gross hematuria. Contrast-enhanced abdominal CT showed marked urine leakage in the ureteropelvic junction (UPJ). Ureteroscope cannot identify any tumor or obstructive lesion in the ureter. She underwent conservative treatment with double-j stent placement, and the leakage disappeared after 8 weeks treatment. CT scan diagnosis, conservative therapeutic approach, and follow-up will be discussed..
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    發表時間 :
    2015-11-29 17:25:00
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    1,174
    發表人 :
    TUA人資客服組
    部門 :
    台灣泌尿科醫學會
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