Abstract
We report a rare case of generalized peritonitis caused by nontraumatic, intraperitoneal rupture of the ureter. An 80-year-old woman with a history of bilateral vesicoureteral reflux and long-term urethral indwelling catheter drainage presented with a very distended abdomen. Computed tomography showed massive ascites and intraperitoneal free gas. We performed an emergency laparotomy, assuming a gastrointestinal perforation; but could not find a cause of generalized peritonitis. Postoperatively, she presented with anuria and massive peritoneal drainage. The findings of a cystogram confirmed intraperitoneal ureteral rupture. She was managed successfully with ureteral stenting. The diagnosis of this condition requires a high degree of clinical suspicion, along with radiographic evidence and peritoneal fluid analysis. Image-guided interventions play a crucial role in the management of ureteral urine leaks after a correct diagnosis has been made.
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Osako, T., Kounosu, H., Yamamoto, T. et al. Intraperitoneal Rupture of the Ureter as a Cause of Generalized Peritonitis: Report of a Case. Surg Today 36, 839–842 (2006). https://doi.org/10.1007/s00595-006-3255-0
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DOI: https://doi.org/10.1007/s00595-006-3255-0