Recurrent infections related to an extruded ureteral stone in case of spontaneous ureteral rupture

Spontaneous rupture of the ureter is a rare entity most commonly a result of ureteral stone disease. Despite the overall low prevalence, the diagnosis should be considered so appropriate imaging and management can be performed without delay. Although treatment has shifted towards more minimally invasive intervention and conservative management, open surgical intervention should be considered in certain situations to mitigate the risk of long-term complications. Here we present a unique case of spontaneous ureteral rupture complicated by recurrent infections and fistulous sinus tract formation.

Automated summary

Spontaneous rupture of the ureter, although rare, requires prompt diagnosis and management. Treatment has shifted towards minimally invasive interventions and conservative approaches, but open surgical intervention is still important in certain situations.