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[Perirenal hematoma caused by spontaneous upper calix rupture]
C Domínguez1, F Boronat, E Broseta
1Servicio de Urología, Hospital La Fe, Valencia, España.
Archivos Espanoles De Urologia
|January 1, 1990
Summary
A spontaneous upper urinary tract rupture caused a perirenal hematoma, linked to a pelvic ureter calculus. Percutaneous punction pyelography diagnosed this rare condition presenting as renal fossa pain.
Area of Science:
- Urology
- Nephrology
- Radiology
Background:
- Spontaneous rupture of the upper urinary tract is a rare clinical event.
- Renal calculus obstruction can lead to urinary tract complications.
Observation:
- A patient presented with pain confined to the renal fossa, leukocytosis, and a hematocrit of 36%.
- The clinical presentation suggested a significant intra-abdominal or retroperitoneal process.
Findings:
- A perirenal hematoma was identified, resulting from spontaneous rupture of the upper urinary tract.
- Parenchymal rupture was associated with a calculus lodged in the pelvic ureter.
Implications:
- This case highlights the importance of considering spontaneous urinary tract rupture in the differential diagnosis of acute abdominal pain.
- Percutaneous punction pyelography proved effective in diagnosing this rare urological emergency.
- Prompt diagnosis and management are crucial for favorable outcomes in patients with spontaneous perirenal hematoma.