Spontaneous rupture of the renal pelvis

Ashebu, S. D.; Elshebiny, Yahaya H; Dahniya, M H

doi:10.1046/j.1440-1673.2000.00758.x

Cited by 35 publications

(42 citation statements)

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“…This phenomenon was described in excretory urography, performed with external compression, as pyelotubular, pyelosinus and pyelolymphatic backflow, and resolves spontaneously with no sequel [20]. The increased pressure within the pelvicalyceal system generates stretching and decreased elasticity of the capsule, and soft tissue attenuation [5].…”

Section: Discussion and Literature Reviewmentioning

confidence: 99%

Spontaneous Non-traumatic Upper Urinary Tract Rupture in Pregnancy: Case Report and Literature Review

Efrimescu¹

2013

Emergency Medicine

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BackgroundLoin/flank pain in pregnancy is a common presentation to the Emergency Department (ED). There are a wide range of causes: medical, surgical, urological, obstetrical and gynaecological, but the predominant cause is acute hydronephrosis [1]. Hydroureteronephrosis is frequently associated with pregnancy and on rare occasions can progress to rupture of the urinary tract. This paper describes the case of a young female who developed an initial rupture of the left ureter, progressing following admission to develop symptoms on the right side. Also we have included a narrative review of the literature on this subject. To date, we believe, this is the first case report of a patient with bilateral symptomatic upper urinary tract hydroureteronephrosis. Case PresentationA 31 year old white European primigravida (28 weeks gestational age) with an uncomplicated pregnancy presented to the Emergency Department (ED) complaining of severe progressive left flank pain. The symptoms had commenced approximately 2 hours prior, whilst travelling by train, with gradual onset of colic pain of her left groin, worsening and ascending to the left flank and renal angle. Her past medical history included an episode of left pyelonephritis four years previous, bilateral breasts reduction two years ago and mild eczema which improved with progression of her pregnancy. She had no allergies and was not on any current medication. There was no family history of significance. On examination she was alert and oriented (GCS 15/15), not pale or cyanotic, anxious, restless, and complaining of severe pain (10/10 on numeric pain rating scale). Her body temperature was normal (36.6°C), with mild tachycardia (110 bpm), BP 140/105 mmHg, respiratory rate 17 breaths/minute, SaO 2 96% on room air and a capillary refill time < 2 sec. Percussion tenderness was elicited of the left loin. Her uterus had a normal height for the gestational age; there was no vaginal discharge or bleeding. Foetal movements were present with a heart rate of 120 bpm. The remainder of the clinical exam was unremarkable. An 18 G Intravenous (IV) cannula was inserted and baseline bloods investigations drawn for full blood count, group and screen, urea and creatinine, electrolytes, glucose, liver function test's, "C" Reactive Protein (CRP) and Venous Blood Gas (VBG). She was initially managed with opioid analgesia (pethidine), intravenous paracetamol and maintenance fluids (0.9% NaCl). Shortly after her pain score subsided to 3-4/10.No free fluid or other abnormalities were revealed by an ED Ultrasound (US). A bed side urinalysis revealed a moderate amount of blood, but negative for nitrites and leukocytes. Her VBG and glucose were normal.Based on the clinical presentation and microscopic haematuria a provisional diagnosis of renal colic secondary to a possible migrant renal calculus was established.Laboratory blood results revealed an elevated WBC (14.5×10 9 /L) with mild neutrophlia (11.8×10 9 /L) and elevated CRP (8.3 mg/L). Urea, creatinine, LFT's and electrolytes were normal. P...

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Section: Discussion and Literature Reviewmentioning

confidence: 99%

Spontaneous Non-traumatic Upper Urinary Tract Rupture in Pregnancy: Case Report and Literature Review

Efrimescu¹

2013

Emergency Medicine

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“…The clinical picture includes macro or microscopic hematuria (75%), back pain (18%), dysuria (6%) and less frequently palpable mass, decreased appetite, weight loss, and may sometimes be asymptomatic. [1][2][3][4] Urothelial tumors can affect any part of the urinary tract is relatively rare in the upper urinary tract (approximately 1% of all urothelial tumors), most frequently affecting patients in the sixth and seventh decades of life. The histological subtypes include transitional cell carcinoma (TCC) (90%), squamous cell carcinoma (9%), mucinous adenocarcinoma (less than 1%), sarcomas, undifferentiated tumors and benign tumors (mesodermal inverted papilloma, and fibroepithelial polyp).…”

Section: Case Reportmentioning

confidence: 99%

Spontaneous rupture of renal pelvis secondary to ureteral obstruction by urothelial tumor

Fernandes

Palma

Kido

et al. 2014

Rev. Assoc. Med. Bras.

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“…It is usually recognized with a contrast-enhanced computed tomography (CT) showing passage of contrast medium into peripelvic, perirenal and retroperitoneal spaces. 5 Few cases are reported in literature [6][7][8][9] and we report our experience of spontaneous rupture of the renal pelvis in a case associated with ureteral calculus. Generally, ureteral stones are eliminated with great pain but without complications; sometimes they may be associated with complications as hydronephrosis, impaired renal function, urinary tract infections.…”

Section: Introductionmentioning

confidence: 98%