Document Detail

Rupture of the ureter mimicking acute renal infarction: case report and review of the literature.
MedLine Citation:
PMID:  19999394     Owner:  NLM     Status:  MEDLINE    
We describe a case of acute rupture of the left proximal ureter as a result of lithiasis. The patient presented with a clinical picture of renal infarction: unilateral flank pain, more than 500 red blood cells per microliter urine and increased serum LDH levels. Abdominal ultrasound as well as a CT scan showed no abnormalities. Only CT angiography of the kidneys was able to demonstrate an acute rupture of the left proximal ureter with extravasation of contrast. Intravenous pyelogram confirmed this rupture with leaking of the contrast. One day after admission the patient urinated a 2 mm large calciumoxalate-monohydrate stone, the likely cause of the rupture. The rupture healed spontaneously. A review of the literature is given.
T Steinhauser; J Verhelst; M F Helbert
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Publication Detail:
Type:  Case Reports; Journal Article; Review    
Journal Detail:
Title:  Acta clinica Belgica     Volume:  64     ISSN:  1784-3286     ISO Abbreviation:  Acta Clin Belg     Publication Date:    2009 Sep-Oct
Date Detail:
Created Date:  2009-12-14     Completed Date:  2010-02-18     Revised Date:  2014-03-18    
Medline Journal Info:
Nlm Unique ID:  0370306     Medline TA:  Acta Clin Belg     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  438-41     Citation Subset:  IM    
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MeSH Terms
Acute Disease
Infarction / diagnosis*
Kidney / blood supply*
Rupture, Spontaneous
Ureteral Diseases / diagnosis*

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