Rupture of ureter due to calculi


Spontaneous rupture of the ureter often occurs secondary to ureteral lithiasis with urinary tract obstruction and resultant increased intraluminal pressure and subsequent rupture, or can be secondary to a tear of the ureter during passage of the stone. Peritoneal irritation by urine results in presentation with an acute abdomen. Abdominal CT with contrast, including a urographic (excretory) phase, affords the correct diagnosis.

Case courtesy: Dr. Alessandra Guerra