Abstract
Spontaneous rupture of kidney is a rare clinical entity. A 35-year-old female presented in emergency with left flank pain and features suggestive of haemorrhagic shock. Investigations showed rupture of kidney with perinephric haematoma. Emergency left nephrectomy was done. Patient was discharged in satisfactory condition. Nephrolithiasis with secondary bacterial infection rarely presents as spontaneous kidney rupture. In presence of haemorrhagic shock management is emergency surgery.
Highlights
DiscussionSpontaneous rupture of kidney is a rare entity, even rarer when the cause is nephrolithiasis
Patients present with sudden onset flank pain with haematuria, dysuria and anemia
Incidence of kidney tumor is high in cases of spontaneous rupture so nephrectomy is the treatment of choice.[7]
Summary
Spontaneous rupture of kidney is a rare entity, even rarer when the cause is nephrolithiasis. Most patients with spontaneous renal rupture have a renal tumor[1,2] but other causes are hydronephrosis, pyelone phritis, tuberculosis, abscess, calculous, nephritis, aneurysm, infarct, during pregnancy with or without pre-existing pathology,[3] medical renal disease, autoimmune disorder. Patients present with sudden onset flank pain with haematuria, dysuria and anemia.
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