Intrapartum spontaneous ureteral rupture

Deepa M. Narasimhulu; Neha M. Egbert; Silverman Matthew

doi:10.1097/AOG.0000000000000788

Intrapartum spontaneous ureteral rupture

Deepa M. Narasimhulu, Neha M. Egbert, Silverman Matthew

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

Abstract

BACKGROUND: Although spontaneous rupture of the renal pelvis during pregnancy has been reported, albeit rarely, spontaneous ureteral rupture is extremely rare. CASE: We present the case of a 22-year-old nulliparous woman with spontaneous ureteral rupture after vaginal delivery diagnosed on contrast-enhanced computed tomography scan. Ureteroscopy revealed a rupture of her right midureter and a JJ stent was successfully placed. CONCLUSION: This case compels us to consider spontaneous ureteral rupture in the differential diagnosis for postpartum abdominal pain when common causes have been ruled out. We report this case to inform clinicians of this rare complication so that diagnosis is not delayed. Diagnosis can be made with contrast-enhanced computed tomography scan and cystoscopy, and ureteral stenting is a reasonable option for management.

Original language	English (US)
Pages (from-to)	610-612
Number of pages	3
Journal	Obstetrics and gynecology
Volume	126
Issue number	3
DOIs	https://doi.org/10.1097/AOG.0000000000000788
State	Published - Sep 20 2015
Externally published	Yes

ASJC Scopus subject areas

Obstetrics and Gynecology

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10.1097/AOG.0000000000000788

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title = "Intrapartum spontaneous ureteral rupture",

abstract = "BACKGROUND: Although spontaneous rupture of the renal pelvis during pregnancy has been reported, albeit rarely, spontaneous ureteral rupture is extremely rare. CASE: We present the case of a 22-year-old nulliparous woman with spontaneous ureteral rupture after vaginal delivery diagnosed on contrast-enhanced computed tomography scan. Ureteroscopy revealed a rupture of her right midureter and a JJ stent was successfully placed. CONCLUSION: This case compels us to consider spontaneous ureteral rupture in the differential diagnosis for postpartum abdominal pain when common causes have been ruled out. We report this case to inform clinicians of this rare complication so that diagnosis is not delayed. Diagnosis can be made with contrast-enhanced computed tomography scan and cystoscopy, and ureteral stenting is a reasonable option for management.",

author = "Narasimhulu, {Deepa M.} and Egbert, {Neha M.} and Silverman Matthew",

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T1 - Intrapartum spontaneous ureteral rupture

AU - Narasimhulu, Deepa M.

AU - Egbert, Neha M.

AU - Matthew, Silverman

PY - 2015/9/20

Y1 - 2015/9/20

N2 - BACKGROUND: Although spontaneous rupture of the renal pelvis during pregnancy has been reported, albeit rarely, spontaneous ureteral rupture is extremely rare. CASE: We present the case of a 22-year-old nulliparous woman with spontaneous ureteral rupture after vaginal delivery diagnosed on contrast-enhanced computed tomography scan. Ureteroscopy revealed a rupture of her right midureter and a JJ stent was successfully placed. CONCLUSION: This case compels us to consider spontaneous ureteral rupture in the differential diagnosis for postpartum abdominal pain when common causes have been ruled out. We report this case to inform clinicians of this rare complication so that diagnosis is not delayed. Diagnosis can be made with contrast-enhanced computed tomography scan and cystoscopy, and ureteral stenting is a reasonable option for management.

AB - BACKGROUND: Although spontaneous rupture of the renal pelvis during pregnancy has been reported, albeit rarely, spontaneous ureteral rupture is extremely rare. CASE: We present the case of a 22-year-old nulliparous woman with spontaneous ureteral rupture after vaginal delivery diagnosed on contrast-enhanced computed tomography scan. Ureteroscopy revealed a rupture of her right midureter and a JJ stent was successfully placed. CONCLUSION: This case compels us to consider spontaneous ureteral rupture in the differential diagnosis for postpartum abdominal pain when common causes have been ruled out. We report this case to inform clinicians of this rare complication so that diagnosis is not delayed. Diagnosis can be made with contrast-enhanced computed tomography scan and cystoscopy, and ureteral stenting is a reasonable option for management.

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Intrapartum spontaneous ureteral rupture

Abstract

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