Parenchymal renal rupture due to an obstructive ureteric calculus in an incompletely duplicated renal pelvis and ureter

Q4 Medicine IJU Case Reports Pub Date : 2024-01-30 DOI:10.1002/iju5.12697

Moe Toyoshima, Daiki Ikarashi, Kie Sekiguchi, Tatsuya Kawamura, Arisa Machida, Takeshi Yamaguchi, Yumeka Arakawa, Akito Ito, Shigekatsu Maekawa, Wataru Obara

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Abstract

Introduction

Parenchymal renal rupture due to a ureteric calculus is extremely rare and an emergency.

Case presentation

A 54-year-old man was brought to the emergency room with left back pain without trauma. Computed tomography showed left parenchymal renal rupture with an incompletely duplicated renal pelvis, ureter, and an 11-mm ureteric calculus in the ureterovesical junction. A ureteral stent was placed, and the patient was treated conservatively as his vital signs were stable. We performed transurethral lithotripsy after resolution of the perirenal hematoma.

Conclusion

To best of our knowledge, this report is the first to present a case of parenchymal renal rupture due to a ureteric calculus in an incompletely duplicated renal pelvis and ureter. Ureteric calculus within an incompletely duplicated renal pelvis and ureter is at risk of parenchymal renal rupture. Therefore, the aggressive treatment of ureteric calculus could be important.

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肾盂和输尿管不完全重复，输尿管结石阻塞导致肾实质破裂

导言：输尿管结石导致的肾实质破裂极为罕见，是一种急症。病例介绍一名 54 岁的男子因左背部疼痛被送入急诊室，但没有外伤。计算机断层扫描显示左肾实质破裂，肾盂、输尿管不完全重复，输尿管与肾盂交界处有 11 毫米的输尿管结石。由于患者生命体征稳定，我们为其放置了输尿管支架，并进行了保守治疗。肾周血肿消退后，我们进行了经尿道碎石术。结论据我们所知，这是第一例在肾盂和输尿管不完全重复的情况下因输尿管结石导致肾实质破裂的病例。肾盂和输尿管不完全重复的输尿管结石存在肾实质破裂的风险。因此，积极治疗输尿管结石非常重要。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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