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Peer-reviewedCC BY-NC-NDRadiology Case Reports

Spontaneous ureteric rupture during medical expulsive therapy for distal ureteric calculus: A case report

  • Uvaisullah Quadir, MBBS, MS1
  • Abdul Rouf Khawaja, MBBS, MS, DNB2
  • Gokul Kannan, MBBS, MS2
  • Sajad Ahmad Para, MBBS, MS, MCH2
  • Arif Hamid Bhat, MBBS, MS, MCH2
  • Syed Shakeeb Arsalan, MBBS, MS2
  • Aamir Bashir Raina, MBBS, MS2
  • Shabbah Alam, MBBS, MS2
  • Yawar Nazir, MBBS, MS2
  • Omar Mukhtar Bhat, MBBS, MS2
  • Amir Zaffar Lone, MBBS, MS2
  1. 1Corresponding author.
  2. 2Department of Urology, Sher-i-Kashmir Institute of Medical Sciences (SKIMS), Soura, Srinagar, Jammu and Kashmir, 190011, India
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Abstract

Spontaneous ureteric rupture is a rare complication of ureteric calculi that requires a high index of suspicion for timely diagnosis and management. We report a 38-year-old man who developed spontaneous rupture of the right ureter during medical expulsive therapy for a distal ureteric calculus. Contrast-enhanced computed tomography in the delayed excretory phase demonstrated contrast extravasation with a periureteric urinoma. The patient was successfully managed with percutaneous nephrostomy, followed by delayed ureteric stenting after confirmation of spontaneous healing on antegrade nephrostogram. The stent was subsequently removed. At approximately 1-year follow-up the patient remained asymptomatic, with no complications. Early recognition and timely urinary diversion can achieve excellent outcomes while avoiding major reconstructive surgery.

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Cite

BibTeXRIS
BibTeX
@article{uvaisullahquadir2026spontaneous,
  title = {{Spontaneous ureteric rupture during medical expulsive therapy for distal ureteric calculus: A case report}},
  author = {Uvaisullah Quadir, MBBS, MS and Abdul Rouf Khawaja, MBBS, MS, DNB and Gokul Kannan, MBBS, MS and Sajad Ahmad Para, MBBS, MS, MCH and Arif Hamid Bhat, MBBS, MS, MCH and Syed Shakeeb Arsalan, MBBS, MS and Aamir Bashir Raina, MBBS, MS and Shabbah Alam, MBBS, MS and Yawar Nazir, MBBS, MS and Omar Mukhtar Bhat, MBBS, MS and Amir Zaffar Lone, MBBS, MS},
  journal = {Radiology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.radcr.2026.10.008},
  url = {https://doi.org/10.1016/j.radcr.2026.10.008},
  note = {CC BY-NC-ND},
}
RIS
TY  - JOUR
TI  - Spontaneous ureteric rupture during medical expulsive therapy for distal ureteric calculus: A case report
AU  - Uvaisullah Quadir, MBBS, MS
AU  - Abdul Rouf Khawaja, MBBS, MS, DNB
AU  - Gokul Kannan, MBBS, MS
AU  - Sajad Ahmad Para, MBBS, MS, MCH
AU  - Arif Hamid Bhat, MBBS, MS, MCH
AU  - Syed Shakeeb Arsalan, MBBS, MS
AU  - Aamir Bashir Raina, MBBS, MS
AU  - Shabbah Alam, MBBS, MS
AU  - Yawar Nazir, MBBS, MS
AU  - Omar Mukhtar Bhat, MBBS, MS
AU  - Amir Zaffar Lone, MBBS, MS
PY  - 2026
DA  - 2026/10/22
JO  - Radiology Case Reports
DO  - 10.1016/j.radcr.2026.10.008
UR  - https://doi.org/10.1016/j.radcr.2026.10.008
AB  - Spontaneous ureteric rupture is a rare complication of ureteric calculi that requires a high index of suspicion for timely diagnosis and management. We report a 38-year-old man who developed spontaneous rupture of the right ureter during medical expulsive therapy for a distal ureteric calculus. Contrast-enhanced computed tomography in the delayed excretory phase demonstrated contrast extravasation with a periureteric urinoma. The patient was successfully managed with percutaneous nephrostomy, followed by delayed ureteric stenting after confirmation of spontaneous healing on antegrade nephrostogram. The stent was subsequently removed. At approximately 1-year follow-up the patient remained asymptomatic, with no complications. Early recognition and timely urinary diversion can achieve excellent outcomes while avoiding major reconstructive surgery.
SN  - 1930-0433
ER  -