{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T12:59:03Z","timestamp":1792155543870,"version":"4.4.0"},"reference-count":4,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T00:00:00Z","timestamp":1652054400000},"content-version":"vor","delay-in-days":8,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Clinical Case Reports"],"published-print":{"date-parts":[[2022,5]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>Spontaneous or non\u2010traumatic rupture of the renal tract is an infrequent presentation, and it is most frequently caused by ureteric obstruction. Rupture could occur at any level of the upper urinary tract. However, it is most common at the renal calyces and complications that could arise include; urinoma, and or hematoma collection which could progress to abscess formation and sepsis. We report a 77\u2010year\u2010old male patient who attended the emergency department following referral from his general practitioner with a 6\u2010day history of progressively worsening left sided abdominal pain. Due to his co\u2010morbidities, presenting blood pressure and age, he was suspected of having an aortic dissection or ruptured abdominal aortic aneurysm and subsequently had a CT (computed tomography) Angiogram. This showed extravasation of contrast from the left kidney with a 12\u00a0mm obstructing vesico\u2010ureteric junction calculus necessitating urgent urology referral and prompt review. He was worked up for a ureteric double J stent insertion, however, the procedure was unsuccessful due to complex multiple urethral strictures. The patient subsequently had a nephrostomy inserted and was planned for optical urethrotomy, rigid cystoscopy, rigid\/flexible ureteroscopy, and laser stone fragmentation of left obstructing vesico\u2010ureteric junction calculus.<\/jats:p>","DOI":"10.1002\/ccr3.5820","type":"journal-article","created":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T10:10:36Z","timestamp":1652091036000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":6,"title":["Spontaneous renal tract rupture from obstructing vesico\u2010ureteric junction calculus"],"prefix":"10.1002","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9808-4497","authenticated-orcid":false,"given":"Emmanuel C.","family":"Okpii","sequence":"first","affiliation":[{"name":"North\u2010West Anglia NHS Foundation Trust Peterborough City Hospital  Peterborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3440-6722","authenticated-orcid":false,"given":"Fatima","family":"Adamu\u2010Biu","sequence":"additional","affiliation":[{"name":"North\u2010West Anglia NHS Foundation Trust Peterborough City Hospital  Peterborough UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6900-6940","authenticated-orcid":false,"given":"Kingsley C.","family":"Okpii","sequence":"additional","affiliation":[{"name":"University Hospitals of Leicester NHS Foundation Trust Glenfield Hospital  Leicester UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2022,5,9]]},"reference":[{"key":"e_1_2_13_2_1","doi-asserted-by":"publisher","DOI":"10.4081\/cp.2012.e77"},{"key":"e_1_2_13_3_1","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/851859"},{"key":"e_1_2_13_4_1","unstructured":"Recommendations | Renal and ureteric stones: assessment and management | Guidance | NICE."},{"key":"e_1_2_13_5_1","doi-asserted-by":"publisher","DOI":"10.4103\/UA.UA_24_17"}],"container-title":["Clinical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.5820","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1002\/ccr3.5820","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ccr3.5820","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,11,30]],"date-time":"2025-11-30T04:23:06Z","timestamp":1764476586000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ccr3.5820"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5]]},"references-count":4,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2022,5]]}},"alternative-id":["10.1002\/ccr3.5820"],"URL":"https:\/\/doi.org\/10.1002\/ccr3.5820","archive":["Portico"],"relation":{},"ISSN":["2050-0904","2050-0904"],"issn-type":[{"value":"2050-0904","type":"print"},{"value":"2050-0904","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,5]]},"assertion":[{"value":"2021-09-08","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-04-19","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2022-05-09","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"e05820"}}