Abstract
Two cases are presented in which rupture of the kidney was associated with ureteral obstruction from a sloughed papilla secondary to papillary necrosis. In one case papillary necrosis was associated with phenacetin ingestion and a relatively benign course. In the other instance there was a fulminating course in which papillary necrosis was associated with diabetes mellitus. Ureteral obstruction from papillary necrosis requires prompt intervention, the delay of which may lead to renal rupture and extravasation of blood and urine with its inevitable consequences.
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