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. 2013:2013:932529.
doi: 10.1155/2013/932529. Epub 2013 Oct 1.

Spontaneous renal pelvis rupture: unexpected complication of urolithiasis expected to passage with observation therapy

Tuncay Tas  1 , Basri Cakıroglu, Süleyman Hilmi Aksoy
Affiliations

Spontaneous renal pelvis rupture: unexpected complication of urolithiasis expected to passage with observation therapy

Tuncay Tas et al. Case Rep Urol. 2013.

Abstract

Seventy percent of ureteral stones are located at distal ureter. Effective and safe passage of distal ureter stones is mediated by observation or medical expulsive treatment. Most of stones located at distal ureter pass spontaneously under observation; however, some are complicated with urinary tract infection, hydronephrosis, and renal function disturbances. Spontaneous perforation of the upper ureter is a rare condition that poses diagnostic and therapeutic problems. This case is reported, because the patient developed an unexpected spontaneous renal pelvis rupture (SRPR), while she was under observation and expected to pass her right ureteral stone spontaneously through hydration and analgesic treatment.

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Figures

Figure 1
Figure 1
Free fluid around the kidney, especially near the pelvis renalis, is seen at CT scan without contrast-enhanced.
Figure 2
Figure 2
Free passage of contrast material from the pelvis renalis to around the kidney is seen at delayed phase of the contrast enhanced CT scan.
Figure 3
Figure 3
After treatment, no escape of contrast material from the pelvis renalis is seen at the delayed phase contrast enhanced control CT scan.
See this image and copyright information in PMC

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References

    1. Tzortzis V, Mamoulakis C, Rioja J, Gravas S, Michel MC, De La Rosette JJMCH. Medical expulsive therapy for distal ureteral stones. Drugs. 2009;69(6):677–692. - PubMed
    1. Huri E, Ayyildiz A, Nuhoğlu B, Germiyanoğlu C. Spontaneous rupture and emergency repairment of the renal pelvis. International Urology and Nephrology. 2007;39(2):413–415. - PubMed
    1. Van Winter JT, Ogburn PL, Jr., Engen DE, Webb MJ. Spontaneous renal rupture during pregnancy. Mayo Clinic Proceedings. 1991;66(2):179–182. - PubMed
    1. Ransford G, Young E, Castellan M, Labbie A. Renal pelvis rupture in a kidney with ureteropelvic junction obstruction and extrarenal calyces. Journal of Pediatric Urology. 2013;9(3):e127–e130. - PubMed
    1. Bogdanovic J, Djozic J, Idjuski S, Popov M, Sekulic V, Stojkov J. Succesful surgical reconstruction of ruptured renal pelvis following blunt abdominal trauma. Urologia Internationalis. 2002;68:302–304. - PubMed

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