Spontaneous ureteral rupture: A rare case report and review of literature

Abstract

Spontaneous rupture of the ureter is a very rare condition from ureteral obstruction especially if it is a small stone located distally. A 67-year-old man with abdominal pain associated with vomiting, Caused by a ureteral rupture due to a 5 mm obstructing stone at the vesicoureteral junction. The diagnosis was confirmed by CT imaging. The treatment involved antibiotics and double-J stenting. This case demonstrates that spontaneous ureteral rupture should be suspected in urolothiasis patients presenting for a severe pain even if the calculus is small and the laboratory markers are normal. An immediate management is required to prevent further complications.