Spontaneous rupture renal pelvis seconday to bladder tumour

Case contributed by Dr Chris O'Donnell

Presentation

Known TCC bladder. Now left loin pain and fever. ? obstructed, infected kidney.

Patient Data

Age: 90
Gender: Female

Swollen left kidney with thickening of perinephic fat and a fluid collection anterior to the renal pelvis that fills with contrast from the renal pelvis over time consistent with a urinoma.  Dilated left renal pelvis and ureter to the bladder where there is a large mural mass onstructing the left ureteric orifice causing the renal pelvis to rupture.  Normal right kidney.  No stone in the left ureter.

Case Discussion

Rupture of the renal pelvis occurs either as a result of trauma or acute ureteric obstruction.  This obstruction is usually a calculus but in this case is a bladder TCC.  That is unusual as the obstruction with tumour tends to be slowly progressive.

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Case Information

rID: 42176
Case created: 9th Jan 2016
Last edited: 26th Nov 2016
System: Urogenital
Inclusion in quiz mode: Included

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