Martínez-Vieira Almudena, Valera-Sánchez Zoraida, Sousa-Vaquero José María, Palacios-González Carmen, García-Poley Antonio, Bernal-Bellido Carmen, Alamo-Martínez José María, Millán-López Ana, Blanco-Domínguez Manuel, Galindo-Galindo Antonio
Servicio de Cirugía General, Hospital Universitario Virgen del Rocío, Sevilla, Spain.
Cir Esp. 2005 Aug;78(2):109-11. doi: 10.1016/s0009-739x(05)70900-3.
Rupture of the ureter is an infrequent event that can have serious consequences. The most frequent cause is surgical iatrogenic ureter disease. Other possible causes are urological procedures and urographic studies. In our patient, which, to our knowledge, is the first to be reported in the literature, the ureteral rupture was produced by a traumatic urinary catheterism, because the balloon was filled inside the ureter. The normal presentation is nephritic colic, although acute abdomen is also a possibility. The possibility of ureteral rupture in abdominopelvic surgery or in urological techniques should be evaluated when patients present these clinical symptoms. Treatment is surgical, although in some cases conservative measures can be used.
输尿管破裂是一种罕见的事件，但可能会产生严重后果。最常见的原因是手术医源性输尿管疾病。其他可能的原因是泌尿外科手术和尿路造影检查。据我们所知，我们的患者是文献中首例报道的因创伤性导尿导致输尿管破裂的病例，原因是导尿管球囊在输尿管内充盈。典型表现为肾绞痛，不过也有可能出现急腹症。当患者出现这些临床症状时，应评估在腹部盆腔手术或泌尿外科操作中发生输尿管破裂的可能性。治疗方法是手术治疗，不过在某些情况下也可采用保守措施。
