A rare case of spontaneous parenchymal kidney explosion in a patient with ureteral obstruction caused by a single stone.
Urologia
; 88(4): 386-388, 2021 Nov.
Article
in English
| MEDLINE | ID: covidwho-947898
ABSTRACT
INTRODUCTION:
Spontaneous rupture of kidney may involve collecting system or parenchyma. Parenchymal rupture usually occurs in patients with renal cell carcinoma, angiomyolipoma, renal cysts, arteriovenous malformation or vascular diseases such as periarteritis nodosa. Collecting system rupture is usually a rare complication of obstructive urolithiasis. We describe the unusual cases of spontaneous kidney rupture in patients with acute urinary obstruction. CASE PRESENTATION The case report describes the left parenchymal kidney explosion related to ipsilateral ureteral obstruction caused by a single ureteral stone. The patient reached our emergency department with acute left flank pain and massive haematuria. At the moment of admission, the patient was in stage III hypovolemic shock and had a lower haematocrit (haemoglobin = 4.9 g/dL). Despite blood transfusions, emergency surgical exploration, extrafascial nephrectomy and intensive support care, the patient died twelve hours after surgery.CONCLUSIONS:
Parenchymal renal rupture can be a life-threatening emergency. Despite its rarity, in the differential diagnosis of acute abdomen, parenchymal renal rupture should always be considered in patients with abdominal pain and an anamnesis or history of urinary stones, pointing out the need of early diagnosis also in benign urological conditions.Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Ureteral Obstruction
/
Ureteral Calculi
/
Kidney Diseases
Type of study:
Case report
/
Diagnostic study
/
Prognostic study
Topics:
Long Covid
Limits:
Humans
Language:
English
Journal:
Urologia
Year:
2021
Document Type:
Article
Affiliation country:
0391560320975881
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