Pyoperitoneum revealing a spontaneous renal forniceal rupture due to ureteropelvic junction syndrome: About a rare case report

Moudane, Anouar El; Boukhannous, Ibrahim; Elalaoui, Anass; Mhammedi, Wassim Alaoui; Mahtar, Mohamed; Barki, Ali

doi:10.1016/j.eucr.2022.102231

Urology Case Reports

2022

DOI: 10.1016/j.eucr.2022.102231

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Pyoperitoneum revealing a spontaneous renal forniceal rupture due to ureteropelvic junction syndrome: About a rare case report

Anouar El Moudane¹,

Ibrahim Boukhannous²,

Anass Elalaoui³

et al.

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2024

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Cited by 2 publications

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Duplex Kidney with Spontaneous Intraperitoneal Rupture of the Lower Moiety Pyonephrosis: An Extremely Rare Case Report

Amitkumar Singh,

Adhikari

2024

Nephro-Urol Mon

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Introduction: Spontaneous intraperitoneal rupture of pyonephrosis is an extremely rare condition. It leads to generalized peritonitis that mimics an acute abdomen caused by intraperitoneal visceral pathology. In most cases, the underlying cause is obstructive urinary tract stones, followed by pelviureteric junction obstruction, tumors, or connective tissue diseases. We report the first case of spontaneous intraperitoneal fistulization of pyonephrosis from a duplex kidney. Case Presentation: A 56-year-old female presented with an acute abdomen and was diagnosed with a right incomplete duplex kidney and intraperitoneal rupture of lower renal moiety pyonephrosis secondary to an obstructive ureteric calculus located proximal to the confluence of the two ureters. She was successfully managed with initial percutaneous drainage and nephrostomy, followed by a delayed lower moiety nephrectomy. Conclusions: This case highlights the importance of considering renal etiology in the differential diagnosis of generalized peritonitis and underscores the rarity of such occurrences.

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Duplex Kidney with Spontaneous Intraperitoneal Rupture of the Lower Moiety Pyonephrosis: An Extremely Rare Case Report

Amitkumar Singh,

Adhikari

2024

Nephro-Urol Mon

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Pyoperitoneum Revealing a Spontaneous Renal Forniceal Rupture Due to Bladder Cancer: A Case Report

Lifa,

El Moudane,

Bounouar

et al. 2024

Cureus

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Extravasation of urine due to a forniceal rupture at the pelviureteric junction is a seldom-seen complication. While the presence of pyonephrosis can lead to a retroperitoneal abscess, its fistulization into the peritoneal cavity is exceptionally rare. Here, we present the case of a 50-year-old man exhibiting clinical signs of peritonitis. An abdominal CT scan indicated retroperitoneal peritonitis due to the rupture of the fornix. This case underscores the uncommon manifestation of pyonephrosis with peritonitis and pyoperitoneum, attributed to bladder cancer.

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Pyoperitoneum revealing a spontaneous renal forniceal rupture due to ureteropelvic junction syndrome: About a rare case report

Cited by 2 publications

References 4 publications

Duplex Kidney with Spontaneous Intraperitoneal Rupture of the Lower Moiety Pyonephrosis: An Extremely Rare Case Report

Duplex Kidney with Spontaneous Intraperitoneal Rupture of the Lower Moiety Pyonephrosis: An Extremely Rare Case Report

Pyoperitoneum Revealing a Spontaneous Renal Forniceal Rupture Due to Bladder Cancer: A Case Report

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