Spontaneous ureteral rupture caused by iliac aneurysm: a case report
Abstract Background Rupture of the ureter with extravasation resulting from an iliac aneurysm is extremely rare. Herein, we report a case of ureteric rupture with urinary extravasation secondary to an iliac aneurysm. Case presentation An 80-year-old man was admitted to our hospital for sudden onset...
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| Language: | English |
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Japan Surgical Society
2018-12-01
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| Series: | Surgical Case Reports |
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| Online Access: | http://link.springer.com/article/10.1186/s40792-018-0555-8 |
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| author | Hirotaka Sato Soki Kurumisawa Tsutomu Saito Koji Kawahito |
| author_facet | Hirotaka Sato Soki Kurumisawa Tsutomu Saito Koji Kawahito |
| author_sort | Hirotaka Sato |
| collection | DOAJ |
| description | Abstract Background Rupture of the ureter with extravasation resulting from an iliac aneurysm is extremely rare. Herein, we report a case of ureteric rupture with urinary extravasation secondary to an iliac aneurysm. Case presentation An 80-year-old man was admitted to our hospital for sudden onset of severe abdominal pain. Contrast-enhanced computed tomography demonstrated a large left internal iliac aneurysm (6.5 cm in diameter) and a ureteric rupture with leakage of contrast media from the left ureter, indicating a spontaneous ureteral rupture. The patient was treated with placement of a ureteral double-J stent under endoscopic and X-ray fluoroscopic guidance and endovascular aortic repair. His postoperative course was uneventful and he was discharged on postoperative day 20. A computed tomography scan at 2 weeks after surgery showed no contrast extravasation from the ureter or end leak. Conclusion Combination treatment with ureteral and endovascular stenting is effective in avoiding aneurysmal rupture and the serious consequences of a ureteral rupture, which include a perinephric or retroperitoneal collection, abscess formation, subsequent urosepsis, and graft infection. |
| format | Article |
| id | doaj-art-be79aedfe4024a5e9b12eae633543a53 |
| institution | Kabale University |
| issn | 2198-7793 |
| language | English |
| publishDate | 2018-12-01 |
| publisher | Japan Surgical Society |
| record_format | Article |
| series | Surgical Case Reports |
| spelling | doaj-art-be79aedfe4024a5e9b12eae633543a532025-08-20T03:35:51ZengJapan Surgical SocietySurgical Case Reports2198-77932018-12-01411310.1186/s40792-018-0555-8Spontaneous ureteral rupture caused by iliac aneurysm: a case reportHirotaka Sato0Soki Kurumisawa1Tsutomu Saito2Koji Kawahito3Department of Cardiovascular Surgery, Jichi Medical UniversityDepartment of Cardiovascular Surgery, Jichi Medical UniversityDepartment of Cardiovascular Surgery, Jichi Medical UniversityDepartment of Cardiovascular Surgery, Jichi Medical UniversityAbstract Background Rupture of the ureter with extravasation resulting from an iliac aneurysm is extremely rare. Herein, we report a case of ureteric rupture with urinary extravasation secondary to an iliac aneurysm. Case presentation An 80-year-old man was admitted to our hospital for sudden onset of severe abdominal pain. Contrast-enhanced computed tomography demonstrated a large left internal iliac aneurysm (6.5 cm in diameter) and a ureteric rupture with leakage of contrast media from the left ureter, indicating a spontaneous ureteral rupture. The patient was treated with placement of a ureteral double-J stent under endoscopic and X-ray fluoroscopic guidance and endovascular aortic repair. His postoperative course was uneventful and he was discharged on postoperative day 20. A computed tomography scan at 2 weeks after surgery showed no contrast extravasation from the ureter or end leak. Conclusion Combination treatment with ureteral and endovascular stenting is effective in avoiding aneurysmal rupture and the serious consequences of a ureteral rupture, which include a perinephric or retroperitoneal collection, abscess formation, subsequent urosepsis, and graft infection.http://link.springer.com/article/10.1186/s40792-018-0555-8Ureteral ruptureSpontaneousAneurysm |
| spellingShingle | Hirotaka Sato Soki Kurumisawa Tsutomu Saito Koji Kawahito Spontaneous ureteral rupture caused by iliac aneurysm: a case report Surgical Case Reports Ureteral rupture Spontaneous Aneurysm |
| title | Spontaneous ureteral rupture caused by iliac aneurysm: a case report |
| title_full | Spontaneous ureteral rupture caused by iliac aneurysm: a case report |
| title_fullStr | Spontaneous ureteral rupture caused by iliac aneurysm: a case report |
| title_full_unstemmed | Spontaneous ureteral rupture caused by iliac aneurysm: a case report |
| title_short | Spontaneous ureteral rupture caused by iliac aneurysm: a case report |
| title_sort | spontaneous ureteral rupture caused by iliac aneurysm a case report |
| topic | Ureteral rupture Spontaneous Aneurysm |
| url | http://link.springer.com/article/10.1186/s40792-018-0555-8 |
| work_keys_str_mv | AT hirotakasato spontaneousureteralrupturecausedbyiliacaneurysmacasereport AT sokikurumisawa spontaneousureteralrupturecausedbyiliacaneurysmacasereport AT tsutomusaito spontaneousureteralrupturecausedbyiliacaneurysmacasereport AT kojikawahito spontaneousureteralrupturecausedbyiliacaneurysmacasereport |