Spontaneous Kidney Rupture: Two Case Reports With Unusual Presentations

Yavuzsan, Abdullah Hızır; Baloğlu, İbrahim Halil; Albayrak, Ahmet Tevfik; Bursali, Kerem; Demirel, Hüseyin

doi:10.7759/cureus.15332

Cited by 5 publications

(10 citation statements)

References 9 publications

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“…Finally, 10 articles were included in the study. A total of 15 cases of renal parenchyma rupture were reported in these 10 articles (Table I) (1,6,8,(10)(11)(12)(13)(14)(15)(16)). Among them, Durak et al (6) reported an autopsy case in an elderly Turkish male.…”

Section: Discussionmentioning

confidence: 99%

“…In the majority of cases, severe bleeding requires open surgical intervention to prevent patient mortality. When CT confirms the existence of perirenal hemorrhage, immediate surgical exploration should be performed (16). Based on the exploratory results, nephrectomy is almost always required for patients with renal tumors, renal carbuncles, hydronephrosis or severe cicatricial nephrosclerosis (10,13,16).…”

Section: Discussionmentioning

confidence: 99%

“…When CT confirms the existence of perirenal hemorrhage, immediate surgical exploration should be performed (16). Based on the exploratory results, nephrectomy is almost always required for patients with renal tumors, renal carbuncles, hydronephrosis or severe cicatricial nephrosclerosis (10,13,16). Conservative non-surgical management has also been described in patients with hemodynamic stability and no evidence of continuous blood loss.…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous renal rupture due to renal calculi: A case report and literature review

et al. 2022

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Spontaneous renal parenchymal rupture is a rare clinical emergency. The formation of benign and malignant tumors is the most common underlying cause of spontaneous rupture of renal parenchyma. To the best of our knowledge, 15 cases of renal parenchymal rupture have been reported to date. This report describes a rare case of renal parenchyma rupture in the lower left kidney caused by kidney calculi. Furthermore, previously published cases and articles were reviewed. The patient underwent four extracorporeal shockwave lithotripsy procedures within 2 years. The renal parenchyma rupture caused by the stones was successfully treated by removing the stones and repairing the kidney. However, a large hematoma was discovered around the lower pole of the left kidney, suggesting the possibility of a renal tumor. Therefore, radical nephrectomy was performed. Postoperative pathology revealed the lesion to be consistent with an intrarenal stone, where no malignancy, infection or vascular disease was observed. The present case highlights the requirement to also take into account the patient's clinical history in cases where imaging cannot completely identify the underlying cause of renal parenchymal rupture. Accurate identification of the underlying etiology of spontaneous renal rupture may determine the best treatment for the patient. The purpose of the present report is to facilitate the identification of the disease and reduce the rate of clinical misdiagnosis.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Spontaneous renal rupture due to renal calculi: A case report and literature review

et al. 2022

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“…Spontaneous retroperitoneal hemorrhage-hematoma (SRHH) and spontaneous renal rupture (SRR) are rare medical entities mandating urgent treatment as they can be fatal [1,2]. Nevertheless, their common clinical manifestation is abdominal pain which is not a pathognomonic finding [1,3].…”

Section: Introductionmentioning

confidence: 99%

“…Nontraumatic retroperitoneal hemorrhage originates predominantly from the psoas muscle, followed by the kidney [1]. The most common pathology of the kidney leading to spontaneous bleeding is the presence of a tumor (benign or malignant) [2,3]. Antiphospholipid syndrome (APLS) is an autoimmune disease that causes thrombosis in the involved organs [4].…”

Section: Introductionmentioning

confidence: 99%

Retroperitoneal Hemorrhage Due to Spontaneous Renal Rupture as the First Presentation of Antiphospholipid Syndrome: A Case Report

Mavridis¹,

Lagoudaki²,

Georgiadis³

et al. 2023

Cureus

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Spontaneous renal rupture (SRR) with retroperitoneal hemorrhage is an extremely rare medical emergency and is rather challenging for the surgical team. Management of SRR often requires surgical intervention and nephrectomy as it is life-threatening. Antiphospholipid syndrome (APLS) is an autoimmune disease that affects several organs, including kidneys, causing significant abnormalities. Current data suggest that APLS can result in renal artery stenosis, renal vein thrombosis, arterial hypertension, thrombotic microangiopathy, and antiphospholipid syndrome nephropathy where there is renal involvement. Here, we report the case of a 49-year-old man who presented to the Emergency Department with sudden-onset abdominal pain in the context of retroperitoneal bleeding due to SRR. The patient developed hemodynamic instability and underwent a total nephrectomy. The surgical specimen revealed APLS-related lesions. Serological tests confirmed the diagnosis of APLS, which was managed with acenocoumarol and hydroxychloroquine. Since then, he has not experienced any thromboembolic or hemorrhagic episodes. This article aims to present for the first time a case of SRR as the first presentation of APLS as well as to analyze the possible associated mechanisms.

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Spontaneous upper urinary tract rupture due to urolithiasis

Yotovski,

Kotova,

Milushev

et al. 2024

Srp Arh Celok Lek

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Introduction. The spontaneous rupture of the upper urinary tract?s cavity system, which includes the pelvicalyceal system and ureter, is sporadic. This phenomenon, where urine unexpectedly leaks out of the cavity system without any apparent cause of trauma or medical intervention, is a fascinating and puzzling aspect of urology. This condition is typically attributed to obstructive uropathy, which leads to increased pressure within the urinary tract. This article illustrates the sporadic occurrence of spontaneous ruptures within the pelvicalyceal system. It underscores the importance of prompt diagnosis and timely treatment to restore wall integrity without significant stenosis. Outlines of cases. We have recorded four cases of spontaneous rupture in urolithiasis, with a median patient age of 47.5 years. The clinical symptoms mimic those of renal colic. Ultrasound, computed tomography scans, and retrograde pyelography were used to diagnose the condition. Treatment consisted of inserting a JJ stent for an average duration of 2.5 months. In all cases, prompt diagnosis and treatment have led to a remarkable restoration of the pelvicalyceal system and the ureter?s wall, with spontaneous absorption of the extravasation and without significant ureteral strictures. Conclusion. The positive outcome underscores the importance of early diagnosis and treatment and offers hope for future cases.

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Spontaneous Kidney Rupture: Two Case Reports With Unusual Presentations

Cited by 5 publications

References 9 publications

Spontaneous renal rupture due to renal calculi: A case report and literature review

Spontaneous renal rupture due to renal calculi: A case report and literature review

Retroperitoneal Hemorrhage Due to Spontaneous Renal Rupture as the First Presentation of Antiphospholipid Syndrome: A Case Report

Spontaneous upper urinary tract rupture due to urolithiasis

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