Ureteral Dissection is a Transient Process Before Ureteral Rupture: A Case Report

Abstract Background: Ureteral dissection(UD)is a rare condition which occurs when injury through the intima and occasionally the media allows entry of urine and separation of the inner and medial ureteral layer just like the formation of aortic dissection. Ureteral rupture (UR) is generally caused by ureteral calculus, operation of ureteral endoscope, trauma, tumors, iatrogenic injury and easy to cause peritonitis, so patients usually show symptoms of peritonitis prior to signs of urinary tract. Ureteral rupture caused by ureteral dissection is rarely reported. Case presentation:21-year-old male and 43-year-old female were both admitted into hospital because of abdominal pain. Enhanced CT and retrograde pyelography showed “double lumen sign” in the right proximal ureter and contrast extravasation in the perinephric gap. The male is dead due to serious condition but the female is in good condition without complication after correct and timely therapy. Conclusions: UD is a transient process viewed by enhanced CT or retrograde pyelography offering a warning sign of UR in order to improve prognosis..

Medienart:

Preprint

Erscheinungsjahr:

2021

Erschienen:

2021

Enthalten in:

ResearchSquare.com - (2021) vom: 17. März Zur Gesamtaufnahme - year:2021

Sprache:

Englisch

Beteiligte Personen:

Xia, Kun [VerfasserIn]
Wang, Rongpin [VerfasserIn]
Shen, zhiyan [VerfasserIn]
Zeng, Xianchun [VerfasserIn]
Zhang, Zhuxue [VerfasserIn]

Links:

Volltext [kostenfrei]

doi:

10.21203/rs.3.rs-132820/v1

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

XRA034746773