Spontaneous Rupture of the Kidney Due to Acute Lymphoblastic Leukemia: The First Episode and a Glance on the Literature

Sami Mahjoub Taha*, Awad Al Kareem Abd El Geyoom, Mohammed El Imam M Ahmed, Nada Osman and Musab Mahjoub Taha

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

Full Text PDF Full Text HTML DOI: 10.17352/2455-5282.000058
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