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

Abstract

OZET Renal pelvis ve ureterin spontan rupturu nadir gorulen bir durumdur. Vakamiz daha once urolojik operasyon ve tas oykusu olmayan 63 yasinda saglikli bir erkek hasta idi. Ani baslayan sag yan agrisi sonrasi cekilen kontrastsiz bilgisayarli tomografide (BT) sag ureter alt ucta 1 milimetrelik (mm) tas ve renal pelvis duzeyinde grade 1 hidronefroz tespit edilen hastanin 24 saat icinde agrilarinin ani artmasi ve akut batin muayene bulgulari gelismesi nedenli hastaya Kontrastli BT cekildi ve ureter alt ucta izlenen 1 mm lik tasa sekonder gelisen spontan renal pelvis rupturu tanisi konuldu. Hastaya retrograt ureteral stent yerlestirildi. Hasta tedaviye dramatik yanit verdi. Olgu esliginde tani ve tedavi yaklasimlari tartisildi. Anahtar Kelimeler: Bir milimetre; Spontan pelvis rupturu; Ureter tasi ABSTRACT Spontaneous renal pelvis and ureter rupture is rare. In our study we reported a 63-year-old male patient who had 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 was detected 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 spontaneous renal pelvis rupture secondary to 1 mm distal ureter stone was detected. Retrograde ureteral double J stent was inserted into the right ureter. The patient responded dramatically to this intervention. Spontaneous ureter rupture may occur with acute abdominal pain symptoms. After making differential diagnosis, dramatical responses are available with immediate minimal invasive treatment methods Keywords: One milimeter; Spontaneous pelvis rupture; Ureter stone