The Spontaneous Rupture of the Renal Fornix Caused by Obstructive Nephropathy

You, Je Sung; Chung, Yong Eun; Lee, Jun-Young; Lee, Hye Jeong; Chung, Tae Nyoung; Park, Yoo Seok; Park, In-Cheol

doi:10.1016/j.jemermed.2011.06.126

Cited by 10 publications

(13 citation statements)

References 2 publications

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“…Contrast-enhanced CT is highly sensitive for visualization of the location of the urinoma, its size and the demonstration of its the relationship with the kidney and the ureter, and, therefore, it provides additional information contributing to treatment planning. Contrast-enhanced CT should be considered by the emergency department physician in patients with obstructive uropathy and flank pain since RFR patients usually come from emergency departments (16). 69.8% of our patients were transferred from the emergency department.…”

Section: Discussionmentioning

confidence: 97%

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Etiology and Treatment of Renal Forniceal Rupture: A Single Center Experience

Erçil¹,

Tümer²,

Şentürk³

et al. 2018

jus

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To evaluate the clinical findings, treatment methods and outcomes of patients treated for renal forniceal rupture (RFR). Materials and Methods: Files and records of the patients treated for RFR between January 2013 and November 2016 were evaluated retrospectively. In primary treatment; ureteroscopy and laser/pneumatic lithotripsy (URL) with stone fragmentation and double J (JJ) stent placement were performed in patients with no finding of sepsis. However, only JJ stent/percutaneous nephrostomy placement was performed in those with sepsis findings. The demographic characteristics, related symptoms, and the results of primary and secondary treatment of the patients were evaluated. Results: We had 43 patients with a mean age of 48.6±16.6 years. No cause was found in 4 patients while a urological cause was identified in 39 of them by using anamnesis, physical examination, laboratory and imaging methods. Out of 43 patients, percutaneous nephrostomy catheterization was performed in 5 of 32 patients under primary treatment. URL and JJ stenting were performed in the remaining 11 patients. Additionally, due to giant retroperitoneal urinoma, a retroperitoneal drain was placed in 2 patients by interventional radiology clinic. Conclusion: URL and stone fragmentation seem to be feasible treatment option in the primary treatment of patients with RFR without sepsis findings.

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Section: Discussionmentioning

confidence: 97%

“…The primary goal in RFR treatment should be reducing pressure in the upper urinary system (1,5,16). JJ stent or percutaneous nephrostomy implementation is a reliable method for the treatment of patients with RFR due to URL obstructed ureteric stones combined with endourological maneuvers.…”

Section: Discussionmentioning

confidence: 99%

Etiology and Treatment of Renal Forniceal Rupture: A Single Center Experience

Erçil¹,

Tümer²,

Şentürk³

et al. 2018

jus

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“…Contrast-enhanced CT with nonenhanced images is the most sensitive and specific noninvasive imaging modality. [ 7 ] Retrograde pyelography can also be used in patients whose diagnosis is left uncertain with other imaging methods. [ 8 ]…”

Section: Discussionmentioning

confidence: 99%

Spontaneous rupture of the renal pelvis due to obstruction of pelviureteric junction by renal stone: A case report and review of the literature

et al. 2017

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Spontaneous rupture of the urinary collecting system with extravasation of the urine is a very rare condition. This situation is commonly associated with an obstructing urinary stone. Herein, we report a case of an 86-year-old patient who has admitted to the emergency service with left flank pain continuing for 7 days and pain has exacerbated in the past 24 h. The patient had nausea, vomiting, and tenderness on the left side of the abdomen and left flank region. The patient was diagnosed with an 8 mm left kidney stone a month ago, and hydration and oral analgesics were recommended to the patient. Spontaneous rupture of the renal pelvis and urinary extravasation were detected by contrast-enhanced computed tomography scan. Double-J ureteral stent was placed to control symptoms and eliminate extravasation. In this paper, diagnosis and treatment options for spontaneous renal pelvis rupture are discussed.

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“…Extravasation of urine into the perirenal tissue may be visible on sonography. The differential diagnosis includes urinoma, hematoma or abscess [4,5]. Native computed tomography can show urine leakage into the parapelvic tissue, which would indicate forniceal rupture.…”

mentioning

confidence: 99%

“…Rupture of the fornix is a rare but typical urological emergency, which is associated with sepsis or even loss of renal function [1,3,5]. There are no predictive values which can be used to focus attention on high-risk patients.…”

mentioning

confidence: 99%

Rupture of the Left Renal Fornix after Vaginal Repair of Postpartum Vesicovaginal Fistula

Rendtorff

Knispel

Tunn

2014

Geburtshilfe Frauenheilkd

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Surgical repair of vesicovaginal fistulas carries a risk of postoperative obstruction of the upper urinary tract. In the case described here, a postoperative intramural edema led to urinary retention and subsequent rupture of the renal pelvis. This is a rare but typical urological emergency. If patients complain postoperatively of flank pain, ultrasound should be carried out promptly. If the findings are unclear (no urinary retention despite clinical symptoms), additional computed tomography should be performed to determine whether rupture of the fornix has occurred.

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The Spontaneous Rupture of the Renal Fornix Caused by Obstructive Nephropathy

Cited by 10 publications

References 2 publications

Etiology and Treatment of Renal Forniceal Rupture: A Single Center Experience

Etiology and Treatment of Renal Forniceal Rupture: A Single Center Experience

Spontaneous rupture of the renal pelvis due to obstruction of pelviureteric junction by renal stone: A case report and review of the literature

Rupture of the Left Renal Fornix after Vaginal Repair of Postpartum Vesicovaginal Fistula

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