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

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 thi...

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Autores principales: Quaresima, Silvia, Manzelli, Antonio, Ricciardi, Edoardo, Petrou, Athanasios, Brennan, Nicholas, Mauriello, Alessandro, Rossi, Piero
Formato: Texto
Lenguaje:English
Publicado: BioMed Central 2011
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3087700/
https://www.ncbi.nlm.nih.gov/pubmed/21486444
http://dx.doi.org/10.1186/1477-7819-9-39
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author Quaresima, Silvia
Manzelli, Antonio
Ricciardi, Edoardo
Petrou, Athanasios
Brennan, Nicholas
Mauriello, Alessandro
Rossi, Piero
author_facet Quaresima, Silvia
Manzelli, Antonio
Ricciardi, Edoardo
Petrou, Athanasios
Brennan, Nicholas
Mauriello, Alessandro
Rossi, Piero
author_sort Quaresima, Silvia
collection PubMed
description 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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spelling pubmed-30877002011-05-05 Spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report Quaresima, Silvia Manzelli, Antonio Ricciardi, Edoardo Petrou, Athanasios Brennan, Nicholas Mauriello, Alessandro Rossi, Piero World J Surg Oncol Case Report 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. BioMed Central 2011-04-12 /pmc/articles/PMC3087700/ /pubmed/21486444 http://dx.doi.org/10.1186/1477-7819-9-39 Text en Copyright ©2011 Quaresima et al; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 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.
spellingShingle Case Report
Quaresima, Silvia
Manzelli, Antonio
Ricciardi, Edoardo
Petrou, Athanasios
Brennan, Nicholas
Mauriello, Alessandro
Rossi, Piero
Spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report
title Spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report
title_full Spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report
title_fullStr Spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report
title_full_unstemmed Spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report
title_short Spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report
title_sort spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3087700/
https://www.ncbi.nlm.nih.gov/pubmed/21486444
http://dx.doi.org/10.1186/1477-7819-9-39
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