Boston University Medical Center, Boston Medical Center, One Boston Medical Center Pl, Boston, MA 02118, United States of America.
VA Boston Healthcare System, Boston University Medical Center, 1400 VFW Pkwy, West Roxbury, MA 02132, United States of America.
Clin Imaging. 2021 Oct;78:69-73. doi: 10.1016/j.clinimag.2021.03.009. Epub 2021 Mar 20.
Spontaneous rupture of the ureter is a rare entity most commonly a result of ureteral stone disease. Despite the overall low prevalence, the diagnosis should be considered so appropriate imaging and management can be performed without delay. Although treatment has shifted towards more minimally invasive intervention and conservative management, open surgical intervention should be considered in certain situations to mitigate the risk of long-term complications. Here we present a unique case of spontaneous ureteral rupture complicated by recurrent infections and fistulous sinus tract formation.
输尿管自发性破裂较为罕见，通常是由于输尿管结石病所致。尽管其总体发病率较低，但仍应考虑到这种诊断，以便及时进行适当的影像学检查和治疗。尽管治疗方法已转向更微创的介入和保守治疗，但在某些情况下仍应考虑开放性手术干预，以降低长期并发症的风险。在此，我们报告了一例独特的输尿管自发性破裂病例，该病例并发反复感染和瘘管窦道形成。
