Ünal ÖZTEKİN, Sercan SARI, Volkan SELMI, Abdullah GÜREL, Muhittin ATAR

BİR MİLİMETRİK ÜRETER ALT UÇ TAŞINA BAĞLI HIZLI GELİŞEN SPONTAN RENAL PELVİS RÜPTÜRÜ

Renal pelvis ve üreterin spontan rüptürü nadir görülen bir durumdur. Vakamız daha önce ürolojik operasyon ve taş öyküsü olmayan 63 yaşında sağlıklı bir erkek hasta idi. Ani başlayan sağ yan ağrısı sonrası çekilen kontrastsız bilgisayarlı tomografide (BT) sağ üreter alt uçta 1 milimetrelik (mm) taş ve renal pelvis düzeyinde grade 1 hidronefroz tespit edilen hastanın 24 saat içinde ağrılarının ani artması ve akut batın muayene bulguları gelişmesi nedenli hastaya Kontrastlı BT çekildi ve üreter alt uçta izlenen 1 mm lik taşa sekonder gelişen spontan renal pelvis rüptürü tanısı konuldu. Hastaya retrograt üreteral stent yerleştirildi. Hasta tedaviye dramatik yanıt verdi. Olgu eşliğinde tanı ve tedavi yaklaşımları tartışıldı.

Fast Developing Spontaneous Renal Pelvis Rupture Due to One Mlilimeter Sized Distal Ureter Stone

Spontaneous renal pelvis and ureter rupture is rare. In our study we reported a 63-year-old male patient whohad no previous history of urological operation and urinary system stone. He had right flank pain. In the non-contrast computerized tomography(CT) one millimeter(mm) stone wasdetected in the right distal ureter. Grade 1 hydronephrosis was present in the right renal pelvis. 24 hours later,patient had increasing pain and acute abdominal pain. Contrast enhanced CT was performed and spontaneousrenal pelvis rupture secondary to 1 mm distal ureter stone was detected. Retrograde ureteral double J stentwas inserted into the right ureter. The patient responded dramatically to this intervention. Spontaneous ureter rupture may occur with acute abdominal pain symptoms. After making differentialdiagnosis, dramatical responses are available with immediate minimal invasive treatment methods

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