SPONTANEOUS PERFORATION OF THE URETER - ENDOUROLOGICAL MANAGEMENT WITH RENAL PRESERVATION

Spontaneous perforation of the ureter proximal to an obstruction has n ot been well described in the literature. We present a rare case of sp ontaneous perforation of the ureter, proximal to a radiolucent upper u reteric stone, in a 58-year-old diabetic female, causing a large infec ted urinoma and septicaemia in a solitary functioning kidney. The diag nosis was confirmed by computer tomography scan. We managed the case s uccessfully by endourology only, The case emphasizes the importance of the differential diagnosis in a diabetic patient with obstructive uro pathy.