Spontaneous rupture of the kidney due to congenital pelviureteric junction obstruction presenting as an acute abdomen

ABSTRACT

Three adults with congenital pelviureteric junction [PUJ] obstruction who presented with acute abdomen, they had vague symptoms prior to this incident that were not specific to their urinary tract. All had uroperitoneum and all had no obvious macroscopical site of urinary extravasation from the involved kidney. This underlying pathology should be born in mind when dealing with cases of acute abdomen. Spontaneous rupture of the kidney is considered to be a relatively rare condition The underlying cause may be renal or ureteral tumors[however fewer still are the cases of rupture that are secondary to congenital pelviureteric junction obstruction Here in 3 of such cases are reported