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

Köktener, Aslı; Unal, Dogan; Dilmen, Gülçin; Koç, Akif

doi:10.1016/j.jemermed.2006.12.031

Cited by 34 publications

(23 citation statements)

References 11 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Increase of the pressure in the collecting system and tension of the pelvis wall were proposed as the mechanisms of renal colic, and these mechanisms are likely to prevent the damage to the collecting system [8]. Some models revealed that distension-mediated activation of renal pelvis mechanoreceptors results in spinothalamic (pathway) C-fiber excitation.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Pelvic Rupture as a Result of Renal Colic in a Patient with Klinefelter Syndrome

Рева

Tolkach

2013

Case Reports in Urology

View full text Add to dashboard Cite

We present the case of a young man with Klinefelter syndrome, who was admitted to our clinic with renal colic. Shortly after admittance, spontaneous decrease in pain has occurred. Ultrasound and intravenous contrast computed tomography were performed, which showed the evidence of urine extravasation at the level of left renal pelvis and a 4 mm stone in the lower third of the left ureter. The management with a double-J ureteric stent for three weeks was successful. Then, the stent was removed and computed tomography confirmed the absence of urine extravasation. We also analyze the literature related to this case and discuss the main mechanisms of collecting system rupture.

show abstract

Section: Discussionmentioning

confidence: 99%

Spontaneous Pelvic Rupture as a Result of Renal Colic in a Patient with Klinefelter Syndrome

Рева

Tolkach

2013

Case Reports in Urology

View full text Add to dashboard Cite

show abstract

“…Flank and abdominal pain are the most common presenting symptoms, and ultrasonography and computed tomography (CT) are the initial diagnostic modalities of choice. Serial ultrasound exams may demonstrate enlargement of the perinephric fluid collection [4] that may prompt urologic intervention. Symptoms can also be relatively mild, however, and as in our case, resolve without the need for urgent urologic intervention.…”

Section: Resultsmentioning

confidence: 99%

Spontaneous rupture of the renal pelvis due to an obstructing ureteral calculus diagnosed by point-of-care ultrasound

Stone

Secko

2010

Crit Ultrasound J

View full text Add to dashboard Cite

A 37-year-old man presented to the emergency department with left flank pain and vomiting. Bedside ultrasound performed by the treating emergency physician revealed left-sided hydronephrosis and perinephric fluid, suggesting a rupture of the renal pelvis. Urinary sonography revealed an absent left ureteral jet, suggesting left ureteral obstruction. Treatment was initiated and a noncontrast computed tomography scan confirmed the initial ultrasound findings.A 37-year-old man with no prior medical history presented to the emergency department (ED) 4 h after the onset of acute left flank pain and vomiting. He denied fever, diarrhea, dysuria, or trauma. His temperature was 98.2°F, pulse 104/min, respirations 18/min, blood pressure 142/78 mm Hg, and his room air oxygen saturation was 98%. His physical examination was remarkable for left costovertebral angle tenderness. His abdomen was soft and non-tender without rebound or guarding. A mid-stream urinalysis showed 0-2 red blood cells/high powered field.The treating emergency physician performed a bedside ultrasound using a 5-2 MHz curvilinear transducer (Sonosite M-Turbo, Bothell WA). Examination of the left kidney demonstrated moderate hydronephrosis and an anechoic fluid collection surrounding the left kidney consistent with a calyceal rupture and pyelosinus extravasation ( Fig. 1; h = hydronephrosis, asterisks = fluid collection, and Video Clip S1, available as supporting information in the online version of this paper). Although power Doppler examination of the bladder demonstrated a ureteral jet from the right ureteral orifice (Fig. 2), no ureteral jet was visible on the patient's left, indicating a left ureteral obstruction. Results and discussionNon-contrast computed tomography (CT) scan of the abdomen and pelvis confirmed a 5 mm obstructing left ureterovesical junction (UVJ) stone ( Fig. 3; b = bladder, asterisk = stone) with left-sided hydronephrosis and perinephric fluid ( Fig. 4; h = hydronephrosis, asterisk = perinephric fluid). The patient was evaluated by an urologist after his symptoms were controlled with antiemetics, analgesics, and intravenous crystalloid. He was discharged home with oral antibiotics and opiate analgesics, an alpha 2-antagonist, and a follow-up appointment in the urology clinic 48 h later. Chart review revealed that the patient recovered uneventfully without any surgical intervention.Rupture of the renal pelvis with extravasation of urine into the perinephric and/or retroperitoneal space is a rare condition most often resulting from trauma [1], but also associated with obstructing ureteral calculi, or compression of the ureter by pregnancy [2], tumor or retroperitoneal fibrosis [3]. Flank and abdominal pain are the most common presenting symptoms, and ultrasonography and Electronic supplementary material The online version of this article (

show abstract

“…La ruptura espontánea del sistema excretor urinario, es una patología infrecuente y se define como una extravasación de orina hacia el tejido perirrenal y retroperitoneo en ausencia de inflamación, trauma, instrumentación previa, cirugía o enfermedad renal conocida 1,2,5,6 . El sitio de ruptura puede estar entre los fórnix de los cálices hasta la uretra.…”

Section: Discussionunclassified

“…

…”

unclassified

Ruptura pieloureteral espontánea bilateral durante un urotac: Caso clínico

Miranda

Raurich

2017

Rev. méd. Chile

View full text Add to dashboard Cite

Bilateral spontaneous renal pelvis rupture during a computed tomography.Report of one case [1][2][3][4][5] . Desde las ya clásicas descripciones de pielografías de eliminación y tomografía computada (TC) [2][3][4] , el diagnós-tico por imágenes es esencial para determinar su ubicación, cuantía, presencia de complicaciones y evolución. Reportamos un caso insólito de ruptura espontánea pieloureteral bilateral vivida durante la realización de una tomografía computada (TC), en un paciente sin antecedentes mórbidos y sin patología obstructiva del sistema excretor. Caso clínicoPaciente varón de 58 años, enviado al Servicio de Imágenes por el urólogo para un urotac con diagnóstico de micro hematuria, sin antecedentes mórbidos personales ni familiares de importancia conocidos. Tampoco tenía antecedentes de alergias ni reacciones previas al medio de contraste. Posterior a la administración de contraste por vía endovenosa, el paciente refirió intenso dolor lumbar. Se suspendió el examen y fue llevado al servicio de urgencia para su evaluación. Se confirmó el dolor lumbar, una leve taquicardia, eupneico, con una presión arterial normal. Fue tratado con analgésicos por vía endovenosa y el dolor cedió en forma importante. También orinó normalmente sin hematuria macroscópica. Se tomó una creatininemia de 1,15 mgr/dl.Como la urotac es una TC orientada principalmente a la evaluación del riñón y las vías urinarias, es necesario hacer primero el estudio sin contraste, luego una fase a los 70 segundos para realzar el parénquima renal y, una fase tardía para evaluar el sistema excretor. Por esto, nuestro paciente fue llevado nuevamente a tomografía para realizarla fase de eliminación del examen. En ese instante se

show abstract

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

Cited by 34 publications

References 11 publications

Spontaneous Pelvic Rupture as a Result of Renal Colic in a Patient with Klinefelter Syndrome

Spontaneous Pelvic Rupture as a Result of Renal Colic in a Patient with Klinefelter Syndrome

Spontaneous rupture of the renal pelvis due to an obstructing ureteral calculus diagnosed by point-of-care ultrasound

Ruptura pieloureteral espontánea bilateral durante un urotac: Caso clínico

Contact Info

Product

Resources

About