Spontaneous Renal Pelvis Rupture: Unexpected Complication of Urolithiasis Expected to Passage with Observation Therapy

Taş, Tuncay; Çakıroğlu, Basri; Aksoy, Süleyman Hilmi

doi:10.1155/2013/932529

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…Since hydroureteronephrosis subsided in a short period, conservative treatment was the preferred method of choice in our case, contrary to the tendency for percutaneous nephrostomy at the beginning of the course. Lien et al 10 reported good results and mostly an uneventful recovery with conservative treatment including antibiotics in the presence of a distal ureteric stone with calyceal rupture, as is the case with most of the relevant literature 5,7 .…”

Section: Discussionmentioning

confidence: 94%

Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management

Başok¹

2021

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Background: Rupture of renal calyces with urinoma, mimicking acute abdomen, is an unusual condition that is mostly caused by distal ureteral stone. Case Presentation: Ultrasonographic evaluation showed right hydronephrosis in a woman who was admitted to our emergency department with persistent severe abdominal pain. A delayed contrast -enhanced computerized tomography (CT) was required to confirm the diagnosis of rupture in symptomatically worsening patient. Among various treatment options conservative treatment was preferred, the patient was recovered, and urinoma was resolved without any complication. Diagnosis and treatment options are discussed. Conclusion: A spontaneous rupture of the urinary system can mimic acute abdomen, and should always be considered in the differential diagnosis of a patient presenting complex symptoms after renal colic. If a definite diagnosis cannot be established by routine imaging modalities, delayed phase contrast- enhanced CT would be helpful in this regard. Conservative treatment with careful monitoring is an option with good results, thus it may obviate the need for surgical intervention in most of the patients.

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Section: Discussionmentioning

confidence: 94%

Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management

Başok¹

2021

FORBES

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“…On physical examination, peritoneal irritation signs, and the presentation of peritonitis are often responsible for the delayed diagnosis and incorrect treatment [12]. Tuncay et al [13] proposed that pain may not be an early manifestation; when urinary extravasation increases in size to form a urinary cyst, SRRP may present as a lumbar mass in the early stage, once the urinary cyst increases in size until it compresses the ureter or when extravasated urine becomes infected, lumbar pain symptoms will occur. Other symptoms of SRRP include nausea, vomiting, and gross hematuria [14].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous rupture of the renal pelvis caused by advanced cervical cancer: A case report

Peng

et al. 2022

Preprint

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Background: Spontaneous rupture of the renal pelvis (SRRP) is a rare clinical condition caused by stone obstruction, and characterized by lumbar and abdominal pain. However, SRRP caused by gynecological tumors has not been reported to date. Here, we describe a case of SRRP caused by cervical cancer and discuss its pathogenesis, diagnosis, and treatment. Case presentation: A 38-year-old woman was hospitalized due to right low back pain with a history of irregular vaginal bleeding. Computed tomography urography (CTU) showed right renal pelvis dilatation and massive extravasation. Thinprepcytologic test (TCT) suggested cervical squamous cell carcinoma. Thus, a diagnosis of SRRP caused by advanced cervical cancer was made. After two months of intravenous chemotherapy and conservative therapy, computed tomography (CT) showed an intact renal pelvis. Conclusion: Upon clinical diagnosis of SRRP, its cause should be identified and treatment should be administered to achieve a satisfying outcome.

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“…Rupture of the renal pelvis caused by hydration has been reported previously. One report documented rupture of the renal pelvis in a patient with a ureteral stone who was being observed while receiving hydration and analgesics ( Tas et al, 2013 ). Another study reported on a woman at 19 weeks' gestation in whom rupture of the renal pelvis occurred after she received a rapid intravenous infusion before cervical cerclage during spinal anesthesia ( Huang et al, 2002 ).…”

Section: Discussionmentioning

confidence: 99%

Spontaneous ureteral rupture during concurrent chemoradiotherapy in a woman with uterine cervical cancer

Ikeda

Ishikawa

Kato

2015

Gynecologic Oncology Reports

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Spontaneous rupture of the renal pelvis and ureter is associated with obstruction of the urinary collecting system, but is rarely caused by tumors. We describe our experience with a patient who had uterine cervical cancer with mild hydroureter in whom spontaneous ureteral rupture occurred during concurrent chemoradiotherapy. The patient was a 66-year-old woman with stage IIIB uterine cervical cancer and mild hydroureter who received concurrent chemoradiotherapy. The patient felt uncontrolled right-side abdominal pain caused by ureteral rupture after she was given hydration and an intravenous bolus injection of furosemide during the first week of chemoradiotherapy. Contrast-enhanced computed tomography was more useful than ultrasonography for diagnosis of the ureteral rupture. The ureteral rupture in our patient was attributed to a rapid rise in the pressure of the urinary collecting system caused by hydration and the bolus injection of furosemide. Placement of a double-J stent before starting concurrent chemoradiotherapy may help to prevent ureteral rupture in patients who have uterine cervical cancer with mild hydroureter.

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Spontaneous Renal Pelvis Rupture: Unexpected Complication of Urolithiasis Expected to Passage with Observation Therapy

Cited by 4 publications

References 10 publications

Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management

Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management

Spontaneous rupture of the renal pelvis caused by advanced cervical cancer: A case report

Spontaneous ureteral rupture during concurrent chemoradiotherapy in a woman with uterine cervical cancer

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