Spontaneous Intraperitoneal Rupture of Pyonephrosis in a Patient with Unknown Kidney Carcinosarcoma: a Case Report

Overview

Journal World J Surg Oncol

Publisher Biomed Central

Specialties General Surgery
Oncology

Date 2011 Apr 14

PMID 21486444

Citations 9

Authors

Silvia Quaresima

Antonio Manzelli

Edoardo Ricciardi

Athanasios Petrou

Nicholas Brennan

Alessandro Mauriello

Piero Rossi

Affiliations

Soon will be listed here.

Abstract

Seventeen cases of peritonitis due to rupture of a pyonephrosis have been reported. The majority of these cases occur secondary to renal stones. Only two cases of ruptured pyonephrosis with concurrent kidney neoplasm have been described and only one of these presented as an acute peritonitis. In this presentation we discuss an unusual case of a 68 year old man with a chronic history of bilateral nephrolithiasis and recent pyonephrosis. He presented acutely with peritonitis and was later found to have a carcinosarcoma of the kidney. The case highlights the importance of recognizing the possibility of underling renal carcinoma in patients presenting with a ruptured pyonephrosis and discuss steps to avoid this serious complication.

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