A Case of Ureteral Fistula through the Intervertebral Space

ABSTRACT

We present a case of urinary tract fistula between ureter and intervertebral space that developed spontaneously. A 73-year-old woman with left flank pain and fever was referred to the Soonchunhyang University Cheonan Hospital. Abdominal computed tomography and retrograde pyelography revealed the presence of fistula between left upper ureter and L4-5 intervertebral space after spontaneous ureteral rupture. We performed percutaneous nephrostomy and antegrade a Double-J ureteral stent insertion. Three months later, after removal of the stent, repeat retrograde pyelography showed healed ureter. To our knowledge, we report the first case of fistula between ureter and intervertebral space after spontaneous ureteral rupture, as well as the description of endourologic management, instead of open surgery.