Spontaneous Rupture of the Renal Pelvis Caused by Calculus: A Case Report


      Rupture of the urinary collecting system associated with peripelvic extravasation of the urine is an unusual condition and commonly associated with obstructing calculus. We report a patient, recently given chemotherapy due to lymphoma, with acute abdomen symptoms. He had a renal pelvis rupture with perirenal extravasation of urine, an uncommon condition due to a stone in the ureter. Diagnosis was suspected on serial ultrasonography, and confirmed by computed tomograhy. Diagnosis, follow-up, and therapeutic approach are discussed.


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        • Paajanen H.
        • Kettunen J.
        • Tainio H.
        • Jauhiainen K.
        Spontaneous peripelvic extravasation of urine as a cause of acute abdomen.
        Scand J Urol Nephrol. 1993; 27: 333-336
        • Koga S.
        • Arakaki Y.
        • Matsuoka M.
        • Ohyama C.
        Spontaneous peripelvic extravasation of urine.
        Int Urol Nephrol. 1992; 24: 465-469
        • Spurlock J.W.
        • Burke T.W.
        • Dunn N.P.
        • Heller P.B.
        • Collins H.S.
        • Park R.C.
        Calyceal rupture with perirenal urinoma in a patient with cervical carcinoma.
        Obstet Gynecol. 1987; 70: 511-513
        • Titton R.L.
        • Gervais D.A.
        • Hahn P.F.
        • Harisinghani M.G.
        • Arellano R.S.
        • Mueller P.R.
        Urine leaks and urinoma: diagnosis and imaging-guided intervention.
        Radiographics. 2003; 23: 1133-1147
        • Ashebu S.D.
        • Dahniya M.H.
        • Aduh P.
        • Ramadan S.
        • Bopaiah H.
        • Elshebiny Y.H.
        Rupture of the renal pelvis of a ureteropelvic junction hydronephrosis after blunt abdominal trauma.
        Australas Radiol. 2004; 48: 256-258
        • Sorgman J.A.
        • Langevin E.
        • Banks P.A.
        Urinoma masquerding as pancreatic pseudocyst.
        Int J Pancreatol. 1992; 11: 195-198
        • Cormio G.
        • Cormio L.
        • Di Gesu’ G.
        • Loverro G.
        • Selvaggi L.
        Calyceal rupture and perirenal urinoma as presenting sign of reccurent ovarian cancer.
        Gynecol Oncol. 2001; 83: 415-417
        • Gayer G.
        • Zissin R.
        • Apter S.
        • et al.
        Urinomas caused by ureteral injuries: CT appearance.
        Abdom Imaging. 2002; 27: 88-92
        • Gore R.M.
        • Balfe D.M.
        • Aizenstien R.I.
        • Silverman P.M.
        The great escape: interfascial decompression planes of the retroperitoneum.
        AJR Am J Roentgenol. 2000; 175: 363-370
        • Kalafatis P.
        • Zougkas K.
        • Petas A.
        Primary ureterocopic treatment for obstructive ureteral stone-causing fornix rupture.
        Int J Urol. 2004; 11: 1058-1064
        • Ertugrul A.
        • Yucel S.
        • Ilker Y.
        • Akdas A.
        Use of double J stent in case of spontaneous ureteral extravasation of urine.
        Arch Esp Urol. 2000; 53: 491-493
        • Murphy M.E.
        • Tublin M.E.
        Understanding the Doppler RI: impact of renal arterial distensibility on the RI in a hydronephrotic ex vivo rabbit kidney model.
        J Ultrasound Med. 2000; 19: 303-314