Urinoma Due to Spontaneous Rupture of the Renal Pelvis Mimicking Appendicitis

Spontaneous rupture of the renal pelvis (SRRP) with urine extravasation is rare. This condition is primarily associated with an obstructing ureteric calculus. It creates a diagnostic dilemma, especially when the clinical diagnosis can be inconsistent. Herein, we report a 49-year-old male patient who...

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Bibliographic Details
Published inCurēus (Palo Alto, CA) Vol. 15; no. 3; p. e36141
Main Authors Mahawar, Rajat, Dharamshi, Jay D, Shinde, Raju K, Rathi, Chetna
Format Journal Article
LanguageEnglish
Published United States Cureus Inc 14.03.2023
Cureus
Subjects
Abdomen
Appendicitis
Emergency medical care
Emergency Medicine
General Surgery
Kidney stones
Pain
Patients
Pelvis
Radiation
Surgery
Tomography
Trauma
Urine
Urogenital system
Urology
extravasation
appendicitis
renal pelvic rupture
srrp
urinoma
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Summary:Spontaneous rupture of the renal pelvis (SRRP) with urine extravasation is rare. This condition is primarily associated with an obstructing ureteric calculus. It creates a diagnostic dilemma, especially when the clinical diagnosis can be inconsistent. Herein, we report a 49-year-old male patient who presented with abdominal pain for the past three days and was diagnosed with acute appendicitis. A computed tomography (CT) scan revealed a right renal pelvis rupture and urinoma secondary to an obstructive 4 mm ureterovesical junction calculi. The patient was successfully treated with double-J stent placement. In conclusion, even though SRRP is rare, emergency physicians should have knowledge regarding this condition, which often presents as an abdominal condition and may be misdiagnosed as another condition requiring surgical intervention. Radiologic investigations such as CT scans are useful methods in suspected cases of this condition in order to reduce unnecessary surgical intervention.
ISSN:2168-8184
2168-8184
DOI:10.7759/cureus.36141