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A Rare Case of Upper Ureter Rupture: Ureteral Perforation Caused by Urinary Retention

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Ãֽ±Ç, Àֹ̼Î, Kim Sun-Chan, ±èű¸, À¯±¸ÇÑ, ¹Î°æÀº, ÀÌÇü·¡,
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Ãֽ±Ǡ( Choi Seung-Kwon ) 
Kyung Hee University School of Medicine Department of Urology

Àֹ̼Π( Lee Sol-Min ) 
Kyung Hee University School of Medicine Department of Urology
 ( Kim Sun-Chan ) 
Kyung Hee University School of Medicine Department of Urology
±èű¸ ( Kim Tae-Gu ) 
Kyung Hee University School of Medicine Department of Urology
À¯±¸ÇÑ ( Yoo Koo-Han ) 
Kyung Hee University School of Medicine Department of Urology
¹Î°æÀº ( Min Gyeong-Eun ) 
Kyung Hee University School of Medicine Department of Urology
ÀÌÇü·¡ ( Lee Hyung-Lae ) 
Kyung Hee University School of Medicine Department of Urology

Abstract


Perforation of the ureter is a rare condition that causes a series of problems including retroperitoneal urinoma, urosepsis, abscess formation, infection, and subsequent renal impairment. There are causative factors that induce ureteric rupture, including malignancy, urinary calculi, idiopathic retroperitoneal fibrosis, recent iatrogenic manipulation, external trauma, degenerative kidney conditions, urography with external compression, and spontaneous causes. We report a rare case of ureteric rupture caused by urinary retention. The patient was treated with temporary percutaneous drainage and antibiotics. The present case illustrates that urinary retention can induce not only bladder rupture, but also ureteric rupture. It is thus of paramount importance to effectively manage patients with voiding problems.

Å°¿öµå

Neurogenic bladder; neurogenic; Rupture; Ureter; Urinary retention

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