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Case Reports in Urology
Volume 2013 (2013), Article ID 932529, 3 pages
http://dx.doi.org/10.1155/2013/932529
Case Report

Spontaneous Renal Pelvis Rupture: Unexpected Complication of Urolithiasis Expected to Passage with Observation Therapy

1Department of Urology, Star Medica Hospital, Orta Cami Mah. Cengiz Topel Meydanı No. 10, 5900 Tekirdag, Turkey
2Department of Urology, Hisar Intercontinental Hospital, Saray Mahallesi Site Yolu Caddesi No. 7, Umraniye, 34768 Istanbul, Turkey
3Department of Radiology, Hisar Intercontinental Hospital, Saray Mahallesi Site Yolu Caddesi No. 7, Umraniye, 34768 Istanbul, Turkey

Received 20 June 2013; Accepted 29 August 2013

Academic Editors: M. Gallucci and L. Henningsohn

Copyright © 2013 Tuncay Tas et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

Seventy percent of ureteral stones are located at distal ureter. Effective and safe passage of distal ureter stones is mediated by observation or medical expulsive treatment. Most of stones located at distal ureter pass spontaneously under observation; however, some are complicated with urinary tract infection, hydronephrosis, and renal function disturbances. Spontaneous perforation of the upper ureter is a rare condition that poses diagnostic and therapeutic problems. This case is reported, because the patient developed an unexpected spontaneous renal pelvis rupture (SRPR), while she was under observation and expected to pass her right ureteral stone spontaneously through hydration and analgesic treatment.