title: Spontaneous rupture of renal pelvis as a rare complication of ureteral lithiasis.
abstract: Spontaneous rupture of renal pelvis with urine extravasation is a rare condition and usually associated with obstructing ureteric calculus. It poses diagnostic and therapeutic dilemmas, while a stepwise approach for the confirmation of diagnosis, treatment and follow up is needed. We present a case of a 75-year old male patient who had a renal pelvis rupture with perirenal extravasation of urine due to a 4 mm stone located at the right ureterovesical junction. Diagnosis was confirmed by computed tomography, while the patient was treated successfully with the placement of a percutaneous nephrostomy. A week later a CT- nephrostomography showed the healing of renal pelvis with no extravasation and no evidence of the obstructing stone.
authors.affiliation: Clinic of Urology, General Hospital of Laconia, Sparta, Greece.
authors.forename: Orestis
authors.initials: O
authors.lastname: Porfyris
authors.affiliation: Clinic of Radiology, General Hospital of Laconia, Sparta, Greece.
authors.forename: Elena
authors.initials: E
authors.lastname: Apostolidi
authors.affiliation: Clinic of Radiology, General Hospital of Laconia, Sparta, Greece.
authors.forename: Andromachi
authors.initials: A
authors.lastname: Mpampali
authors.affiliation: Clinic of Urology, General Hospital of Laconia, Sparta, Greece.
authors.forename: Paraskevas
authors.initials: P
authors.lastname: Kalomoiris
keywords: Pelvis rupture; percutaneous nephrostomy; ureteral calculus; urinoma