{"pk":1001,"title":"Spontaneous Ureteric Rupture and Its Implications in the Emergency Department: A Case Report","subtitle":null,"abstract":"Introduction:\n Spontaneous ureteric rupture is uncommon and has a wide range of presentations. Accurate diagnosis and timely treatment is necessary to avoid potential serious complications.\nCase Report:\n 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.\nConclusion:\n 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.","language":"en","license":{"name":"Creative Commons Attribution 4.0","short_name":"CC BY 4.0","text":"Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.\r\n\r\nNo additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.","url":"https://creativecommons.org/licenses/by/4.0"},"keywords":[{"word":"Spontaneous ureteric rupture"},{"word":"urolithiasis"}],"section":"Case Reports","is_remote":true,"remote_url":"https://escholarship.org/uc/item/0r9106pf","frozenauthors":[{"first_name":"Tallie","middle_name":"Wei Lin","last_name":"Chua","name_suffix":"","institution":"Singapore General Hospital, Department of Emergency Medicine, Outram Road, Singapore","department":"None"},{"first_name":"Evelyn","middle_name":"","last_name":"Wong","name_suffix":"","institution":"Singapore General Hospital, Department of Emergency Medicine, Outram Road, Singapore","department":"None"}],"date_submitted":"2021-03-13T05:25:12+01:00","date_accepted":"2021-03-13T05:25:12+01:00","date_published":"2021-03-13T05:27:16+01:00","render_galley":null,"galleys":[{"label":"","type":"","path":"https://journalpub.escholarship.org/uciem_cpcem/article/1001/galley/748/download/"}]}