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Peer-reviewedCC BY-NC-ND 4.0Urology Case Reports

Spontaneous ureteral rupture secondary to distal ureteric stone presenting as perinephric urinoma: A case report of a rare urological emergency

  • Binyam Mohammedbirhan Berhe1
  • Mohamedaman Mohamedsied Ibrahim2
  • Mizan Kidanu Weldemariam2
  • Tigabu Bezabh Hagos3
  • Temesgen Gebremariam Weldeslassie2
  1. 1Mekelle University College of Health Sciences, Department of Pathology, Mekelle, Ethiopia
  2. 2Mekelle University College of Health Sciences, Department of Surgery, Mekelle, Ethiopia
  3. 3Mekelle University College of Health Sciences, Department of Radiology, Mekelle, Ethiopia
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Abstract

Spontaneous ureteral rupture is a rare complication of obstructive uropathy that may mimic infection and delay diagnosis. We report a 48-year-old man with persistent left flank pain initially treated as pyelonephritis. Imaging showed worsening hydronephrosis and perinephric fluid. Contrast-enhanced CT demonstrated a <3 mm distal ureteric stone at the ureterovesical junction with contrast extravasation, confirming ureteral rupture and urinoma. The patient underwent emergency ureteral stenting followed by delayed ureteroscopy and lithotripsy, with complete recovery. Early CT imaging and prompt decompression are essential for accurate diagnosis and optimal outcomes in such cases.

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Cite

BibTeXRIS
BibTeX
@article{berhe2026spontaneous,
  title = {{Spontaneous ureteral rupture secondary to distal ureteric stone presenting as perinephric urinoma: A case report of a rare urological emergency}},
  author = {Binyam Mohammedbirhan Berhe and Mohamedaman Mohamedsied Ibrahim and Mizan Kidanu Weldemariam and Tigabu Bezabh Hagos and Temesgen Gebremariam Weldeslassie},
  journal = {Urology Case Reports},
  year = {2026},
  month = oct,
  doi = {10.1016/j.eucr.2026.103644},
  url = {https://doi.org/10.1016/j.eucr.2026.103644},
  note = {CC BY-NC-ND 4.0},
}
RIS
TY  - JOUR
TI  - Spontaneous ureteral rupture secondary to distal ureteric stone presenting as perinephric urinoma: A case report of a rare urological emergency
AU  - Binyam Mohammedbirhan Berhe
AU  - Mohamedaman Mohamedsied Ibrahim
AU  - Mizan Kidanu Weldemariam
AU  - Tigabu Bezabh Hagos
AU  - Temesgen Gebremariam Weldeslassie
PY  - 2026
DA  - 2026/10/15
JO  - Urology Case Reports
DO  - 10.1016/j.eucr.2026.103644
UR  - https://doi.org/10.1016/j.eucr.2026.103644
AB  - Spontaneous ureteral rupture is a rare complication of obstructive uropathy that may mimic infection and delay diagnosis. We report a 48-year-old man with persistent left flank pain initially treated as pyelonephritis. Imaging showed worsening hydronephrosis and perinephric fluid. Contrast-enhanced CT demonstrated a <3 mm distal ureteric stone at the ureterovesical junction with contrast extravasation, confirming ureteral rupture and urinoma. The patient underwent emergency ureteral stenting followed by delayed ureteroscopy and lithotripsy, with complete recovery. Early CT imaging and prompt decompression are essential for accurate diagnosis and optimal outcomes in such cases.
SN  - 2214-4420
ER  -