Spontaneous ureteric rupture due to high pressure chronic retention. Issue 3 (March 2022)

• Record Type: Journal Article
• Authors: Deen, Shameer; Ogbu, Emmanuel; Walker, Nicholas Faure; Nkwam, Nkwam Michael
• Is Part Of: JRSM open. Volume 13:Issue 3(2022)
• Publication Date: 2022-03
• Subjects: Urological surgery -- Spontaneous rupture -- Ureter -- Urinoma; Medicine -- Periodicals; Medicine -- Great Britain -- Periodicals; 610.5
• DOI: 10.1177/20542704221077556
• Languages: English
• ISSNs: 2054-2704

Abstract

Summary: Spontaneous ureteric rupture is a rare phenomenon which can be traumatic or non-traumatic that may arise from ureteric obstruction, trauma, mucosal inflammation from urolithiasis, connective tissue disease or retroperitoneal fibrosis. High pressure chronic retention is characterised by noctural enuresis, a tense palpable bladder, hypertension, progressive renal impairment, bilateral hydronephrosis and hydroureter on imaging. Obstructive urological symptoms are typically absent in uncomplicated cases. We report the case of a 69-year-old male who presented with high pressure chronic retention and spontaneous ureteric rupture demonstrated on a noncontrast CT. This patient was managed with a urethral catheter on free drainage and a retrograde ureteric stent. The patient's condition improved, and the stent was removed after a uretero-pyeloscopy which revealed no extravasation. He later underwent a successful transurethral resection of the prostate.