Never underestimate renal colic: a case of pelvic rupture

Abstract

Authors describe a case of pelvic rupture as a consequence of renal colic. Pelvic rupture is an unusual condition that often is not considered in patients suffering renal colic. In this case diagnosis was not considered on ultrasonography, it was suspected when acute abdominal symptoms began and it was confirmed by computed tomography.

Renal pelvic rupture, intrapelvic haematoma and retroperitoneal haemorrhage associated with obstructive ureterolithiasis in a cat

“…The proposed mechanism of renal pelvic rupture is a sudden increase in intrapelvic pressure (Csata et al, 1998), and affected kidneys are frequently previously diseased (Caro & Waldbarum 1976, Van Winter et al 1991. In this case, renal pelvic rupture was thought to have occurred secondary to ureterolithiasis, as described in humans (Battista et al 2016, Zhang et al 2017.…”

“…In humans, there are successful renal-sparing techniques described for treating pelvic rupture, including renal decompression with ureteral and nephrostomy catheters with or without surgical repair (Csata et al 1998, Ashebu et al 2000, Murawski et al 2008, Battista et al 2016. Such techniques are available and could be considered for future feline clinical cases in order to preserve remaining renal function.…”

“…The severity of disease tends to depend on whether disease is uni-or bilateral, whether there is partial or complete obstruction and the chronicity of the condition (Wilson 1977). In humans, there are rare reports of increased pressure within the renal cavity system causing renal pelvis rupture in association with ureteral calculi, trauma, tumours, pregnancy and spontaneously (Csata et al 1998;Ashebu et al 2000;Murawski et al 2008;Battista et al 2016 andYoung-Woong et al 2007). In many of the reported cases, there was a delay in diagnosis and treatment.…”

“…In many of the reported cases, there was a delay in diagnosis and treatment. Renal pelvic rupture has been successfully treated both surgically with primary repair, pyelostomy and retroperitoneal drainage (Murawski et al 2008) and conservatively with a pigtail nephrostomy catheter and ureteral catheters (Csata et al 1998, Ashebu et al 2000, Battista et al 2016. The following databases (Scopus, Web of Science, Pubmed, and ScienceDirect) have been searched with the following keywords 'renal pelvic rupture' and 'cat' or 'feline' on 25/08/2020 and no other reports of renal pelvic rupture in a cat has been found doing these searches.…”

“…2000, Battista et al . 2016). The following databases (Scopus, Web of Science, Pubmed, and ScienceDirect) have been searched with the following keywords ‘renal pelvic rupture’ and ‘cat’ or ‘feline’ on 25/08/2020 and no other reports of renal pelvic rupture in a cat has been found doing these searches.…”