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

Abstract

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.