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Medline ® Abstract for Reference 72

of 'Approach to acute abdominal pain in pregnant and postpartum women'

Intrapartum Spontaneous Ureteral Rupture.
Narasimhulu DM, Egbert NM, Matthew S
Obstet Gynecol. 2015 Sep;126(3):610-2.
BACKGROUND: Although spontaneous rupture of the renal pelvis during pregnancy has been reported, albeit rarely, spontaneous ureteral rupture is extremely rare.
CASE: We present the case of a 22-year-old nulliparous woman with spontaneous ureteral rupture after vaginal delivery diagnosed on contrast-enhanced computed tomography scan. Ureteroscopy revealed a rupture of her right midureter and a JJ stent was successfully placed.
CONCLUSION: This case compels us to consider spontaneous ureteral rupture in the differential diagnosis for postpartum abdominal pain when common causes have been ruled out. We report this case to inform clinicians of this rare complication so that diagnosis is not delayed. Diagnosis can be made with contrast-enhanced computed tomography scan and cystoscopy, and ureteral stenting is a reasonable option for management.
Department of Obstetrics and Gynecology, Maimonides Medical Center, Brooklyn, New York.