Urology Research & Practice
Case Report

Spontaneous rupture of renal pelvis as a rare complication of ureteral lithiasis

1.

Clinic of Urology, General Hospital of Laconia, Sparta, Greece

2.

Clinic of Radiology, General Hospital of Laconia, Sparta, Greece

Urol Res Pract 2016; 42: 37-40
DOI: 10.5152/tud.2015.92979
Read: 1720 Downloads: 961 Published: 25 July 2019

Abstract

Spontaneous rupture of renal pelvis with urine extravasation is a rare condition and usually associated with obstructing ureteric calculus. It poses diagnostic and therapeutic dilemmas, while a stepwise approach for the confirmation of diagnosis, treatment and follow up is needed. We present a case of a 75-year old male patient who had a renal pelvis rupture with perirenal extravasation of urine due to a 4 mm stone located at the right ureterovesical junction. Diagnosis was confirmed by computed tomography, while the patient was treated successfully with the placement of a percutaneous nephrostomy. A week later a CT- nephrostomography showed the healing of renal pelvis with no extravasation and no evidence of the obstructing stone.

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