{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,4]],"date-time":"2026-06-04T14:09:56Z","timestamp":1780582196498,"version":"3.54.1"},"reference-count":13,"publisher":"California Digital Library (CDL)","issue":"5","license":[{"start":{"date-parts":[[2021,3,12]],"date-time":"2021-03-12T00:00:00Z","timestamp":1615507200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"abstract":"<jats:p>Introduction: Spontaneous ureteric rupture is uncommon and has a wide range of presentations. Accurate diagnosis and timely treatment is necessary to avoid potential serious complications. Case Report: We present the case of a 55-year-old female who presented with severe right lower abdominal pain with rebound tenderness, vomiting, and a single episode of hematuria. A computed tomography with intravenous contrast of the abdomen and pelvis showed a 0.3-centimeter right upper ureteric calculus, with hydronephrosis and ureteric rupture. In view of the scan findings, a diagnosis of spontaneous ureteric rupture secondary to urolithiasis was made. The patient underwent a percutaneous nephrostomy and ureteric stenting. Conclusion: Spontaneous rupture of the ureter is an uncommon diagnosis for which clinical and laboratory signs may not always be reliably present. A high index of suspicion is required for diagnosis, which is usually confirmed on advanced imaging. It may occur in serious complications of urinoma and abscess formation. As such, accurate diagnosis and timely treatment is crucial.<\/jats:p>","DOI":"10.5811\/cpcem.2021.2.50652","type":"journal-article","created":{"date-parts":[[2021,5,20]],"date-time":"2021-05-20T21:14:20Z","timestamp":1621545260000},"page":"167-170","source":"Crossref","is-referenced-by-count":2,"title":["Spontaneous Ureteric Rupture and Its Implications in the Emergency Department: A Case Report"],"prefix":"10.5811","volume":"2","author":[{"given":"Tallie Wei Lin","family":"Chua","sequence":"first","affiliation":[{"name":"Singapore General Hospital, Department of Emergency Medicine, Outram Road, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evelyn","family":"Wong","sequence":"additional","affiliation":[{"name":"Singapore General Hospital, Department of Emergency Medicine, Outram Road, Singapore"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"29705","published-online":{"date-parts":[[2021,3,12]]},"reference":[{"key":"ref0","doi-asserted-by":"publisher","unstructured":"Eken A, Akbas T, Arpaci T. Spontaneous rupture of the ureter. Singapore Med J. 2015;56(2):e29-31.","DOI":"10.11622\/smedj.2015029"},{"key":"ref1","unstructured":"Nathan S, Kerwin R, Lorge F, et al. An uncommon cause of acute abdominal pain: spontaneous ureteral rupture. Clin Surg. 2019;4:2369."},{"key":"ref2","doi-asserted-by":"publisher","unstructured":"Stravodimos K, Adamakis I, Koutalellis G, et al. Spontaneous perforation of the ureter: clinical presentation and endourologic management. J Endourol. 2008;22(3):479-84.","DOI":"10.1089\/end.2007.0196"},{"key":"ref3","doi-asserted-by":"publisher","unstructured":"Low LS and Nair SM. Spontaneous distal ureteric rupture: a rare case report and review of literature. Asian J Urol. 2020;7(1):61-3.","DOI":"10.1016\/j.ajur.2019.02.004"},{"key":"ref4","doi-asserted-by":"crossref","unstructured":"Chen G-H, Hsiao P-J, Chang Y-H, et al. Spontaneous ureteral rupture and review of the literature. Am J Emerg Med. 2014;32(7):772-4.","DOI":"10.1016\/j.ajem.2014.03.034"},{"key":"ref5","doi-asserted-by":"publisher","unstructured":"Paajanen H, Kettunen J, Tainio H, et al. Spontaneous peripelvic extravasation of urine as a cause of acute abdomen. Scand J Urol Nephrol. 1993;27(3):333-6.","DOI":"10.3109\/00365599309180443"},{"key":"ref6","doi-asserted-by":"publisher","unstructured":"Akpinar H, Kural AR, T\u00fcfek I, et al. Spontaneous ureteral rupture: Is immediate surgical intervention always necessary? Presentation of four cases and review of the literature. J Endourol. 2002;16(3):179-83.","DOI":"10.1089\/089277902753716160"},{"key":"ref7","doi-asserted-by":"publisher","unstructured":"Liu S-Y, Lin J-N, Huang C-Y, et al. Spontaneous rupture of the ureter mimicking acute appendicitis: two case reports. J Acute Med. 2011;1(2):61-3.","DOI":"10.1016\/j.jacme.2011.11.001"},{"key":"ref8","doi-asserted-by":"publisher","unstructured":"Pace K, Spiteri K, German K. Spontaneous proximal ureteric rupture secondary to ureterolithiasis. J Surg Case Rep. 2017;2016(11):rjw192.","DOI":"10.1093\/jscr\/rjw192"},{"key":"ref9","doi-asserted-by":"publisher","unstructured":"Moak JH, Lyons MS, Lindsell CJ. Bedside renal ultrasound in the evaluation of suspected ureterolithiasis. Am J Emerg Med. 2012;30(1):218-21.","DOI":"10.1016\/j.ajem.2010.11.024"},{"key":"ref10","doi-asserted-by":"publisher","unstructured":"Riddell J, Case A, Wopat R, et al. Sensitivity of emergency bedside ultrasound to detect hydronephrosis in patients with computed tomography-proven stones. West J Emerg Med. 2014;15(1):96-100.","DOI":"10.5811\/westjem.2013.9.15874"},{"key":"ref11","doi-asserted-by":"crossref","unstructured":"Ratkowski KL, Lin M, Bhalla S. Spontaneous ureteral injury. Appl Radiol. 2018;47(7):38-9.","DOI":"10.37549\/AR2501"},{"key":"ref12","doi-asserted-by":"publisher","unstructured":"Pampana E, Altobelli S, Morini M, et al. Spontaneous ureteral rupture diagnosis and treatment. Case Rep Radiol. 2013;2013:851859.","DOI":"10.1155\/2013\/851859"}],"container-title":["Clinical Practice and Cases in Emergency Medicine"],"original-title":[],"deposited":{"date-parts":[[2022,12,28]],"date-time":"2022-12-28T00:19:00Z","timestamp":1672186740000},"score":1,"resource":{"primary":{"URL":"https:\/\/escholarship.org\/uc\/item\/0r9106pf"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2021,3,12]]},"references-count":13,"issue-title":["Clinical Practice and Cases in Emergency Medicine"],"journal-issue":{"issue":"5","published-online":{"date-parts":[[2021,5,18]]}},"URL":"https:\/\/doi.org\/10.5811\/cpcem.2021.2.50652","relation":{},"ISSN":["2474-252X","2474-252X"],"issn-type":[{"value":"2474-252X","type":"electronic"},{"value":"2474-252X","type":"print"}],"subject":[],"published":{"date-parts":[[2021,3,12]]}}}