SPONTANEOUS URETERAL RUPTURE: A CASE REPORT

Spontaneous ureteral rupture is an uncommon urological emergency characterized by the extraluminal leakage of urine in the absence of trauma or prior instrumentation. It may be mistaken for other surgical conditions. We report the case of a 24-year-old male with a history of nephrolithiasis who presented with acute left flank and abdominal pain. Contrast-enhanced computed tomography revealed proximal ureteral contrast extravasation and a sizable perirenal fluid collection, consistent with ureteral rupture. The patient underwent urgent surgical intervention, and a 6 Fr double-J stent was placed. Postoperative recovery was uneventful, and the patient was discharged in stable condition on postoperative day one. This case highlights the need to include spontaneous ureteral rupture in the differential diagnosis of acute abdominal or flank pain. Early imaging and timely urologic intervention are pivotal in achieving optimal clinical outcomes.