Spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report

World Journal of Surgical Oncology

Case Report

Silvia Quaresima¹  Nicholas Brennan¹  Alessandro Mauriello¹  Antonio Manzelli¹  Edoardo Ricciardi¹  Athanasios Petrou¹  Piero Rossi¹ 

[1] Cattedra di Chirurgia Generale, Università degli Studi di Roma Tor Vergata, Italy;

关键词: Peritonitis;    Renal Pelvis;    Angiosarcoma;    Renal Carcinoma;    Acute Abdomen;   

DOI  :  10.1186/1477-7819-9-39

 received in 2010-10-15, accepted in 2011-04-12,  发布年份 2011

来源: Springer

【 摘 要 】

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.

【 授权许可】

Unknown   
© Quaresima et al; licensee BioMed Central Ltd. 2011. This article is published under license to BioMed Central Ltd. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.