Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management
Background: Rupture of renal calyces with urinoma, mimicking acute abdomen, is an unusual condition that is mostly caused by distal ureteral stone. Case Presentation: Ultrasonographic evaluation showed right hydronephrosis in a woman who was admitted to our emergency department with persistent sever...
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| Format: | Article |
| Language: | English |
| Published: |
Galenos Yayinevi
2021-04-01
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| Series: | Forbes Tıp Dergisi |
| Subjects: | |
| Online Access: | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-74936 |
| _version_ | 1797767504393666560 |
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| author | Erem Kaan Başok |
| author_facet | Erem Kaan Başok |
| author_sort | Erem Kaan Başok |
| collection | DOAJ |
| description | Background: Rupture of renal calyces with urinoma, mimicking acute abdomen, is an unusual condition that is mostly caused by distal ureteral stone.
Case Presentation: Ultrasonographic evaluation showed right hydronephrosis in a woman who was admitted to our emergency department with persistent severe abdominal pain. A delayed contrast -enhanced computerized tomography (CT) was required to confirm the diagnosis of rupture in symptomatically worsening patient. Among various treatment options conservative treatment was preferred, the patient was recovered, and urinoma was resolved without any complication. Diagnosis and treatment options are discussed.
Conclusion: A spontaneous rupture of the urinary system can mimic acute abdomen, and should always be considered in the differential diagnosis of a patient presenting complex symptoms after renal colic. If a definite diagnosis cannot be established by routine imaging modalities, delayed phase contrast- enhanced CT would be helpful in this regard. Conservative treatment with careful monitoring is an option with good results, thus it may obviate the need for surgical intervention in most of the patients. |
| first_indexed | 2024-03-12T20:39:56Z |
| format | Article |
| id | doaj.art-0709fed50ffe4ac694b9b5b779c1f399 |
| institution | Directory Open Access Journal |
| issn | 2757-5241 |
| language | English |
| last_indexed | 2024-03-12T20:39:56Z |
| publishDate | 2021-04-01 |
| publisher | Galenos Yayinevi |
| record_format | Article |
| series | Forbes Tıp Dergisi |
| spelling | doaj.art-0709fed50ffe4ac694b9b5b779c1f3992023-08-01T10:47:06ZengGalenos YayineviForbes Tıp Dergisi2757-52412021-04-0121414510.5222/forbes.2021.74936FJM-74936Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and ManagementErem Kaan Başok0Department of Urology, Izmir University of Economics, Faculty of Medicine, Izmir, Turkey.Background: Rupture of renal calyces with urinoma, mimicking acute abdomen, is an unusual condition that is mostly caused by distal ureteral stone. Case Presentation: Ultrasonographic evaluation showed right hydronephrosis in a woman who was admitted to our emergency department with persistent severe abdominal pain. A delayed contrast -enhanced computerized tomography (CT) was required to confirm the diagnosis of rupture in symptomatically worsening patient. Among various treatment options conservative treatment was preferred, the patient was recovered, and urinoma was resolved without any complication. Diagnosis and treatment options are discussed. Conclusion: A spontaneous rupture of the urinary system can mimic acute abdomen, and should always be considered in the differential diagnosis of a patient presenting complex symptoms after renal colic. If a definite diagnosis cannot be established by routine imaging modalities, delayed phase contrast- enhanced CT would be helpful in this regard. Conservative treatment with careful monitoring is an option with good results, thus it may obviate the need for surgical intervention in most of the patients.https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-74936rupturestonecomputed tomographyabdominal pain |
| spellingShingle | Erem Kaan Başok Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management Forbes Tıp Dergisi rupture stone computed tomography abdominal pain |
| title | Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management |
| title_full | Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management |
| title_fullStr | Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management |
| title_full_unstemmed | Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management |
| title_short | Acute Abdominal Pain Due to Spontaneous Renal Calyceal Rupture: Clinical Presentation, Diagnosis and Management |
| title_sort | acute abdominal pain due to spontaneous renal calyceal rupture clinical presentation diagnosis and management |
| topic | rupture stone computed tomography abdominal pain |
| url | https://jag.journalagent.com/z4/download_fulltext.asp?pdir=forbes&un=FJM-74936 |
| work_keys_str_mv | AT eremkaanbasok acuteabdominalpainduetospontaneousrenalcalycealruptureclinicalpresentationdiagnosisandmanagement |