Rupture of Renal Pelvis: A Case Report and Literature Review of a Rare Complication of Ureteral Lithiasis.

INTRODUCTION

Spontaneous rupture of the renal pelvis with urinary extravasation due to ureteral lithiasis is an uncommon entity, and it presents both diagnostic and therapeutic challenges, necessitating a systematic approach for diagnosis confirmation, treatment, and follow-up. Case Presentation and Review of the Literature: This article concerns a case of a 45-year-old male with acute left renal pain. Computed Tomography revealed renal pelvis rupture with perirenal urinary extravasation due to a 3 mm calculus located at the right ureterovesical junction. The patient was successfully managed with the insertion of a percutaneous nephrostomy and a drainage tube in the urinoma. A follow-up CT nephrostomography demonstrated complete healing of the renal pelvis, with no residual extravasation, while no evidence of the obstructing calculus was identified.

RESULTS AND

CONCLUSION

The incidence of renal pelvis rupture due to urolithiasis is rare and warrants heightened suspicion by the urologist for prompt diagnosis and appropriate management.