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. 2015:9:82-4.
doi: 10.1016/j.ijscr.2015.02.044. Epub 2015 Feb 26.

Isolated renal pelvis rupture secondary to blunt trauma: Case report

Kerem Taken  1 , Mehmet Reşit Oncü  2 , Müslüm Ergün  3 , Recep Eryılmaz  3 , Mustafa Güneş  4
Affiliations

Isolated renal pelvis rupture secondary to blunt trauma: Case report

Kerem Taken et al. Int J Surg Case Rep. 2015.

Abstract

Introduction: Isolated rupture of the renal pelvis is a very rare condition and thus causes delays in the diagnosis of the rupture. It is most commonly seen in the setting of obstructive ureteric calculus. Other rare causes include neoplasms, trauma, and iatrogenic procedures. Diagnosis is usually established on computed tomography (CT) which demonstrates the extravasation of the contrast in the peripelvic, perinephric, or retroperitoneal collections.

Presentation of case: A 27-year-old male patient was admitted to our hospital due to multiple traumas associated with motor vehicle accidents. The patient had clear urine output. A large pelvic rupture was detected by abdominal contrast-enhanced CT and after consulting with other departments, emergency repair of the renal pelvis was performed and a ureteral stent was implanted.

Discussion: Only a few isolated cases of pelvis rupture with resultant extravasation have been reported in the literature. The treatment of pelvic rupture should be preceded by the removal of underlying causes, followed by conservative management. However, surgical intervention should be warranted in the emergency cases presenting with the symptoms that may impede the decision-making process and in the cases whose diagnosis cannot be clarified by radiological techniques.

Conclusion: Renal pelvic injury must be considered in the differential diagnosis of blunt trauma. Surgical intervention may be necessary in some cases. We present a case who underwent surgery due to isolated renal pelvis rupture caused by blunt abdominal trauma.

Keywords: Blunt trauma; Renal pelvis rupture; Surgery.

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Figures

Fig. 1
Fig. 1
a, b: Contrast CTscan-extravasation of urine from the right renal pelvis and massive fluid collection in the retroperitoneum.
Fig. 2
Fig. 2
Intraoperative renal pelvic rupture image after replacement DJ stent.
Fig. 3
Fig. 3
Intraoperative renal pelvic rupture image after replacement DJ stent.
See this image and copyright information in PMC

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References

    1. Ferri E., Casoni G.L., Morabito G., D’Alonzo L., Magrini L., Di Somma S., Capotondi C. Rupture of the renal pelvis complicating a renal colic: report of a case. Am. J. Emergency Med. 2006;24(3):383–385. - PubMed
    1. Claashen van der Grinten H.L., Monnens L.A., de Gier R.P., Feitz W.F. Perinatal rupture of the uropoietic system. Clin. Nephrol. 2002;57(6):432–438. - PubMed
    1. Paajanen H., Kettunen J., Tainio H. Spontaneous peripelvic extravasation of urine as a cause of acute abdomen. Scand. J. Urol. Nephrol. 1993;27(3):333–336. - PubMed
    1. Koga S., Arakaki Y., Matsuoka M. Spontaneous peripelvic extravasation of urine. Int. Urol. Nephrol. 1992;24(5):465–469. - PubMed
    1. Silverman S.G., Leyendecker J.R., Amis E.S. What is the current role of CT urography and MR urography in the evaluation of the urinary tract? Radiology. 2009;250(2):309–323. - PubMed