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

• Main Authors: Sami Mahjoub Taha (Author), Awad Al Kareem Abd El Geyoom (Author), Mohammed El Imam M Ahmed (Author), Nada Osman (Author), Musab Mahjoub Taha (Author)
• Format: Book
• Published: Global Journal of Medical and Clinical Case Reports - Peertechz Publications, 2018-02-05.
• Subjects: Case Report
• Online Access: Connect to this object online.

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