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Quinn AD, Kusuda L, Amar AD, Das S. Percutaneous nephrostomy for treatment of hydronephrosis of pregnancy. J Urol. 1988; 139(5): 1037-1038.

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Article

Spontaneous Renal Calyceal Rupture Secondary to Bladder Outlet Obstruction

1Department of Internal Medicine, Michigan State University, Lansing, MI 48912, USA

2Department of Psychiatry, Michigan State University, Lansing, MI 48912, USA


American Journal of Medical Case Reports. 2022, Vol. 10 No. 8, 185-187
DOI: 10.12691/ajmcr-10-8-1
Copyright © 2022 Science and Education Publishing

Cite this paper:
Si Yuan Khor, Bo Ren Zhang, Sara AlAttal, Amira Kamboj, Richa Tikaria. Spontaneous Renal Calyceal Rupture Secondary to Bladder Outlet Obstruction. American Journal of Medical Case Reports. 2022; 10(8):185-187. doi: 10.12691/ajmcr-10-8-1.

Correspondence to: Si  Yuan Khor, Department of Internal Medicine, Michigan State University, Lansing, MI 48912, USA. Email: khorsiyu@msu.edu

Abstract

A 78-year-old female presented with chief complaints of nausea and vomiting for three days associated with generalized weakness and altered mental status. On examination, she was tachycardic and tachypneic with suprapubic distension and generalized tenderness with guarding. Urinalysis revealed urinary tract infection picture. Initial blood work showed leukocytosis, hyperkalemia, lactic acidosis, and acute kidney injury. CT Abdomen without contrast showed marked fluids surrounding the left kidney, bilateral hydronephrosis, and distended urinary bladder. She was treated with intravenous antibiotics and fluids for urosepsis secondary to complicated urinary tract infection with acute kidney injury due to obstructive uropathy. Follow-up renal ultrasound later revealed resolution of left perinephric fluids 3 days after alleviation of obstructive uropathy, thus suggesting a likely diagnosis of spontaneous left renal calyceal rupture.

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