Spontaneous rupture of the renal pelvis due to obstruction of pelviureteric junction by renal stone: A case report and review of the literature

Yanaral, Fatih; Özkan, Arif; Çilesiz, Nusret Can; Nuhoğlu, Barış

doi:10.4103/ua.ua_24_17

Cited by 18 publications

(31 citation statements)

References 8 publications

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“…Due to the symptoms mimicking renal colic and other acute abdominal disorders, the patients with SRRP are most likely to be examined in the first place with a plain abdominal radiograph and an abdominal ultrasound. Those imaging techniques are usually not helpful in case of SRRP [ 12 ], although abdominal ultrasonography can show hydronephrosis and/or perinephric fluid collection, which may provide directions to extended diagnostics [ 3 , 9 ]. The diagnosis can be established using the intravenous pyelography and/or contrast-enhanced abdominal CT scan, with the latter becoming now a preferred method.…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Spontaneous Rupture of Renal Pelvis in a Single Functioning Kidney

Tylski¹,

Muras-Szwedziak²,

Nowicki³

2021

Case Rep Nephrol Dial

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Spontaneous rupture of renal pelvis (SRRP) is a rare condition resulting in an extravasation of urine into retroperitoneal space. Due to the uncharacteristic symptoms, often mimicking renal colic, its diagnosis may be complicated. Herein, we report a case of a 73-year-old male with a solitary functioning kidney who presented with malaise and right-sided abdominal pain, rapidly followed by anuria. Laboratory tests showed the signs of AKI. Contrast-enhanced CT performed soon after the admission showed nonspecific abnormalities in the right middle abdomen suspected to be either inflammatory infiltration or surgical scarring. Symptomatic treatment was started, and an acute hemodialysis treatment was commenced. After a temporal improvement, the patient’s general condition worsened significantly, with exacerbated pain and massive increase in plasma creatinine. A second contrast-enhanced CT was performed with an addition of urography phase, revealing the extravasation of the contrast media in the location suggesting the rupture of the renal pelvis. The patient was treated successfully by the placement of a double-J ureteral stent into the ureter. Usually, a clear etiology of SRRP can be determined, that is, urinary tract obstruction, but in this case, we could not find a definite cause. It is important to remember that in the presence of a nonspecific abdominal pain and laboratory signs of AKI, a rare cause like SRRP should be taken into consideration. Performing a contrast CT scan with urography phase can save time in establishing a diagnosis and enable immediate urological intervention.

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Section: Discussionmentioning

confidence: 99%

Idiopathic Spontaneous Rupture of Renal Pelvis in a Single Functioning Kidney

Tylski¹,

Muras-Szwedziak²,

Nowicki³

2021

Case Rep Nephrol Dial

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“…Urinary system ultrasonography may show hydronephrosis and perinephric fluid. Contrast-enhanced CT and CT urography may be the best diagnostic imaging methods for urinary collecting system ruptures (10). Spontaneous urinary collecting system ruptures may cause major consequences, such as urinoma, perirenal abscess formation, and urosepsis.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Rupture of Proximal Ureter: A Case Report

Kazaz¹,

Teoman²,

Çolak³

et al. 2019

jus

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Distal obstrüktif nedenlere bağlı olmayan, spontane, travmatik olmayan üriner toplayıcı sistem rüptürleri nadir görülmektedir. Ayırıcı tanıda akut abdomen ve renal kolik nedenler göz önünde bulundurulmalıdır. Burada, nedeni bilinmeyen perirenal sıvı kaçağıyla gözlenen sol proksimal üreter spontan rüptürü olgusunu sunmaktayız. Hastaya konservatif tedavi verilerek tedavisinin ilk haftasında semptomlarında iyileşme gözlendi. Üriner toplayıcı sistem rüptürlerinde tedavi olarak üreteral J stent yerleştirilmesi, perkütan nefrostomi uygulanması, hatta cerrahi bir seçenek iken; konservatif tedavi de seçilmiş hastalarda bir tedavi yöntemi olabilir.

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“…Extravasation is a direct consequence of ureteroscopic perforation [7] . Extravasation must be suspected in patients showing symptoms such as persistent flank pain, abdominal distension, ileus, nausea or vomiting, and who underwent endourologic procedures, especially if these were long and complex [7] .Symptoms appear one week after surgery and may be associated with extravasations of irrigation fluid, contrast medium, urine, blood and lithiasic fragments [35] .…”

Section: Extravasationmentioning

confidence: 99%

Complications of Endourologic Procedures: A Review on Iatrogenic Ureteral Perforation

Cruz¹,

Morcillo²,

Folkersma³

et al. 2017

ARC Journal of Urology

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The aim of this study is to describe ureteral perforation as a complication of endourologic procedures; its incidence, risk factors, complications and treatment. Ureteral perforation is an injury that involves the entire thickness of the ureteral wall; whose incidence rate is less than 2%. It is related to the caliber of the equipment, the duration of the intervention, the surgeon's experience, the characteristics and location of the stones and the condition of the ureter prior to the intervention. Late diagnosis or inadequate management may lead to more serious complications such as urinoma, fever, and long-term stricture and obstructive uropathy. The treatment of this complication in the majority of cases consists in Double-Jstenting with a success rate over 80%; when this treatment fails, the following therapeutic options are Percutaneous Nephrostomy and reconstructive surgery.

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Spontaneous rupture of the renal pelvis due to obstruction of pelviureteric junction by renal stone: A case report and review of the literature

Cited by 18 publications

References 8 publications

Idiopathic Spontaneous Rupture of Renal Pelvis in a Single Functioning Kidney

Idiopathic Spontaneous Rupture of Renal Pelvis in a Single Functioning Kidney

Spontaneous Rupture of Proximal Ureter: A Case Report

Complications of Endourologic Procedures: A Review on Iatrogenic Ureteral Perforation

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