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An Immature Murine Model of Reversible Unilateral Ureteral Obstruction
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Intrapartum Spontaneous Ureteral Rupture
Deepa M Narasimhulu1, Neha M Egbert, Silverman Matthew
1Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York.
Obstetrics and Gynecology
|April 30, 2015
Summary
Spontaneous ureteral rupture is a rare postpartum complication. Prompt diagnosis with contrast-enhanced computed tomography and ureteroscopy can guide successful management with ureteral stenting.
Area of Science:
- Urology
- Obstetrics & Gynecology
- Radiology
Background:
- Spontaneous renal pelvis rupture during pregnancy is rare.
- Spontaneous ureteral rupture is an extremely rare obstetric complication.
Observation:
- A 22-year-old nulliparous woman presented with spontaneous ureteral rupture post-vaginal delivery.
- Diagnosis was confirmed via contrast-enhanced computed tomography scan.
- Ureteroscopy identified a right midureteral rupture.
Findings:
- Successful management achieved with ureteral JJ stent placement.
- Contrast-enhanced computed tomography and cystoscopy are key diagnostic tools.
- Ureteral stenting is a viable management option.
Implications:
- Spontaneous ureteral rupture should be considered in postpartum abdominal pain differentials.
- Early diagnosis and intervention are crucial for rare ureteral injuries.
- This case highlights the importance of recognizing rare obstetric complications.
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