Abstract

Rupture of the urinary collecting system is an unusual condition caused by a variety of causes, with obstructive ureteric calculi being the most common cause. The diagnosis is often delayed due to fact that it is rarely seen in daily practice and patients exhibit non-specific symptomatology at the time of presentation. Contrast-enhanced computed tomography usually confirms the diagnosis when contrast extravasations are seen in the excretory phase.

Highlights

  • Rupture of the collecting system can be due to traumatic or non-traumatic causes

  • Rupture of the urinary collecting system is an unusual condition caused by a variety of causes, with obstructive ureteric calculi being the most common cause

  • We report a case of spontaneous renal calyceal rupture secondary to ureteric stricture

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Summary

Introduction

Rupture of the collecting system can be due to traumatic or non-traumatic causes. It can occur anywhere along the urinary tract; the commonest site is at the renal calyces [1]. Non-traumatic calyceal rupture is known as spontaneous calyceal rupture and is an unusual complication of obstructive uropathy that is much more common than the traumatic subtype. The most frequent obstructive causes include ureteric calculi, stricture, or tumor [2]. An obstructive ureteric calculus is considered the most common cause. Obstruction increases ureteric intraluminal pressure with subsequent forniceal or calyceal rupture and urine extravasations into the perirenal space and retro-peritoneum

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