Spontaneous ureteral rupture is defined as nontraumatic ureteral leakage, and it is a rare urological disorder. Herein, we present a case of a patient who presented with fever, abdominal pain, and flank pain; the final diagnosis was confirmed with a computed tomography (CT) scan. The CT image showed left lower ureteral stone, which caused acute hydroureter and hydronephrosis with ureteral rupture, leading to fluid accumulation in the left perirenal and pararenal spaces (urinoma). The patient received left percutaneous nephrostomy, double-J stenting, and broad-spectrum antibiotic treatment, which resulted in a good outcome.
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