Case Report
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An unusual reason for acute abdomen in pregnancy: Spontaneous renal calyceal diverticulum rupture

Year 2023, Volume: 62 Issue: 1, 155 - 157, 15.03.2023
https://doi.org/10.19161/etd.1262620

Abstract

Renal collecting system rupture is exceedingly uncommon, despite the fact that urinary system issues are frequently experienced during pregnancy. This report presents a case of a pregnant patient who underwent examination for sudden onset flank pain and was later found to have spontaneous renal calyceal diverticulum rupture via imaging techniques. Although calyceal diverticula are usually detected incidentally, they are rarely involved in the etiology of acute abdomen due to rupture. Even though rare, spontaneous renal calyceal diverticulum rupture should be taken into account in pregnant patients with acute abdomen since it can cause diagnostic delay and pregnancy-related complications by presenting with clinical findings similar to the more common causes of acute abdomen.

References

  • Gershman B, Kulkarni N, Sahani DV, Eisner BH. Causes of renal forniceal rupture. BJU Int. 2011; 108 (11): 1909–12.
  • Satoh S, Okuma A, Fujita Y, Tamaka M, Nakano H. Spontaneous rupture of the renal pelvis during pregnancy: a case report and review of the literature. Am J Perinatol. 2002; 19 (4): 189–95.
  • Boekhorst F, Bogers H, Martens J. Renal pelvis rupture during pregnancy: diagnosing a confusing source of despair. BMJ Case Rep. 2015; 2015: bcr2014208400.
  • Fluke LM, Hoagland BD, Bedzis SM, Johnston MG. Spontaneous Renal Calyceal Rupture: A Rare Cause of an Acute Abdomen in Pregnancy. Am Surg. 2016; 82 (8): e196-7.
  • Hanson B, Tabbarah R. Preterm Delivery in the Setting of Left Calyceal Rupture. Case Rep Obstet Gynecol. 2015; 2015: 906073.
  • Waingankar N, Hayek S, Smith AD, Okeke Z. Calyceal Diverticula: A Comprehensive Review. Rev Urol. 2014; 16 (1): 29–43.
  • Yamasaki T, Yoshioka T, Imoto M, Aoki H, Fujio K, Uehara S, et al. Rupture of a Calyceal Diverticulum Secondary to Ureteroscopy: A Rare Complication. Case Rep Urol. 2018; 2018: 9285671.
  • Natsume O, Yamamoto M, Momose H, Suemori T, Shiomi T, Yamada K. [Percutaneous management of perinatal spontaneous rupture of a calyceal diverticulum]. Hinyokika Kiyo. 1988; 34 (8): 1431–6.
  • Upputalla R, Moore RM, Jim B. Spontaneous forniceal rupture in pregnancy. Case Rep Nephrol. 2015; 2015: 379061.
  • Jalbani IK, Ather MH. Renal forniceal rupture in pregnancy secondary to obstructive renal stone presenting with acute renal failure. Saudi J Kidney Dis Transpl. 2014; 25 (5): 1081–3.

Gebelikte nadir bir akut karın nedeni: Spontan renal kalisiyel divertikül rüptürü

Year 2023, Volume: 62 Issue: 1, 155 - 157, 15.03.2023
https://doi.org/10.19161/etd.1262620

Abstract

Gebelikte üriner sistem komplikasyonları sık görülmekle birlikte renal toplayıcı sistem rüptürü oldukça nadirdir. Bu çalışmada, ani başlangıçlı yan ağrısı nedeniyle tetkik edilen ve görüntüleme yöntemleri ile spontan renal kalisiyel divertikül rüptürü tanısı alan gebe hasta sunulmaktadır. Kalisiyel divertiküller genellikle insidental olarak saptanmakla birlikte nadiren gelişen rüptür sonucu akut karın etiyolojisinde yer alırlar. Daha sık olarak izlenen akut karın nedenleri ile benzer klinik bulgular vererek tanısal gecikmeye ve gebelikle ilişkili komplikasyonlara yol açabileceği için akut karın nedeniyle araştırılan gebe olgularda nadirde olsa spontan renal kalisiyel divertikül rüptürü de akılda bulundurulmalıdır.

References

  • Gershman B, Kulkarni N, Sahani DV, Eisner BH. Causes of renal forniceal rupture. BJU Int. 2011; 108 (11): 1909–12.
  • Satoh S, Okuma A, Fujita Y, Tamaka M, Nakano H. Spontaneous rupture of the renal pelvis during pregnancy: a case report and review of the literature. Am J Perinatol. 2002; 19 (4): 189–95.
  • Boekhorst F, Bogers H, Martens J. Renal pelvis rupture during pregnancy: diagnosing a confusing source of despair. BMJ Case Rep. 2015; 2015: bcr2014208400.
  • Fluke LM, Hoagland BD, Bedzis SM, Johnston MG. Spontaneous Renal Calyceal Rupture: A Rare Cause of an Acute Abdomen in Pregnancy. Am Surg. 2016; 82 (8): e196-7.
  • Hanson B, Tabbarah R. Preterm Delivery in the Setting of Left Calyceal Rupture. Case Rep Obstet Gynecol. 2015; 2015: 906073.
  • Waingankar N, Hayek S, Smith AD, Okeke Z. Calyceal Diverticula: A Comprehensive Review. Rev Urol. 2014; 16 (1): 29–43.
  • Yamasaki T, Yoshioka T, Imoto M, Aoki H, Fujio K, Uehara S, et al. Rupture of a Calyceal Diverticulum Secondary to Ureteroscopy: A Rare Complication. Case Rep Urol. 2018; 2018: 9285671.
  • Natsume O, Yamamoto M, Momose H, Suemori T, Shiomi T, Yamada K. [Percutaneous management of perinatal spontaneous rupture of a calyceal diverticulum]. Hinyokika Kiyo. 1988; 34 (8): 1431–6.
  • Upputalla R, Moore RM, Jim B. Spontaneous forniceal rupture in pregnancy. Case Rep Nephrol. 2015; 2015: 379061.
  • Jalbani IK, Ather MH. Renal forniceal rupture in pregnancy secondary to obstructive renal stone presenting with acute renal failure. Saudi J Kidney Dis Transpl. 2014; 25 (5): 1081–3.
There are 10 citations in total.

Details

Primary Language Turkish
Subjects Health Care Administration
Journal Section Case Reports
Authors

İlhan Hekimsoy 0000-0001-5768-1239

Halil Bozkaya 0000-0002-5012-6635

Özgür Çakmak 0000-0002-4618-9465

Serkan Güneyli 0000-0003-4743-3359

Publication Date March 15, 2023
Submission Date July 31, 2022
Published in Issue Year 2023Volume: 62 Issue: 1

Cite

Vancouver Hekimsoy İ, Bozkaya H, Çakmak Ö, Güneyli S. Gebelikte nadir bir akut karın nedeni: Spontan renal kalisiyel divertikül rüptürü. EJM. 2023;62(1):155-7.