Abstract
Spontaneous rupture of the kidney consists of the atraumatic disruption of the renal parenchyma,
followed by hemorrhage or leakage of urine into the perinephric space.
A17 years old male known case of Acute Lymphoblastic Leukemia (ALL), referred to the urology
department with right loin pain and fever for 3days. There was no history of trauma. Investigations
revealed low hemoglobin, low platelets 18000 and urine analysis showed pus cells 14-18 cell/HPF and
RBCs 2-4 /HPF. Renal functions tests and coagulation profi le were normal. CT urography showed bulky
right kidney with mid pole laceration leaking of the contrast in the perinephric space.
Conservative treatment was done (Double j insertion-ultrasound guided aspiration). Postoperatively
he was generally well, afebrile, pain subside and repeated abdominal U/S showed no collection.
Conservative management can be appropriate where clinical signs stabilize.
Keywords: Spontaneous rupture kidney; Acute lymphoblastic leukemia (ALL); Conservative treatment
Published on: Feb 5, 2018 Pages: 3-6
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DOI: 10.17352/2455-5282.000058
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