“…In chronic hydronephrosis, the renal pelvis can become thinner, ischemic, and susceptible to damage [ 10 ]. There are several sequelae after urinary extravasation, including nonspecific abdominal pain, flank pain, nausea, and vomiting [ 7 ].…”
Spontaneous rupture of the renal pelvis due to metastatic disease is a rare complication. Renal pelvis rupture often goes undiagnosed in cases of non-traumatic origin due to its vague abdominal and flank symptoms. We present a case of an 81-year-old male with primary non-small cell lung cancer who had renal pelvis rupture due to extrinsic compression of the ureter by retroperitoneal lymphadenopathy secondary to metastatic disease.
“…In chronic hydronephrosis, the renal pelvis can become thinner, ischemic, and susceptible to damage [ 10 ]. There are several sequelae after urinary extravasation, including nonspecific abdominal pain, flank pain, nausea, and vomiting [ 7 ].…”
Spontaneous rupture of the renal pelvis due to metastatic disease is a rare complication. Renal pelvis rupture often goes undiagnosed in cases of non-traumatic origin due to its vague abdominal and flank symptoms. We present a case of an 81-year-old male with primary non-small cell lung cancer who had renal pelvis rupture due to extrinsic compression of the ureter by retroperitoneal lymphadenopathy secondary to metastatic disease.
“…SUR is uncommon [1]. The rupture is commonly at the upper ureter, probably due to its high contractility compared to other parts of the ureter [2].…”
Section: Discussionmentioning
confidence: 99%
“…The rupture is commonly at the upper ureter, probably due to its high contractility compared to other parts of the ureter [2]. The etiologies are hydronephrosis of various causes coupled with a weakened renal pelvis, which is thin, fragile, and partially anoxic in chronic cases [1]. The ureter can also be damaged in other diseases, such as connective tissue disease with vasculitis and thrombosis [3].…”
Section: Discussionmentioning
confidence: 99%
“…However, it can also present with varied clinical features [1]. However, it can also present with varied clinical features [1].…”
Section: Discussionmentioning
confidence: 99%
“…The previous management of SUR, with emergent surgical exploration and nephrectomy, is superseded by conservative measures, such as ureteric stent insertion [1,4]. Likewise, the upper urinary system involved could have been drained by a percutaneous nephrostomy.…”
Spontaneous ureteric rupture is an uncommon urologic emergency. Its presentation can vary, leading to clinical diagnostic challenges. We describe such a case, and its presentation is discussed briefly.
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