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Keywords: vesico-ureteral reflux; pathology; postoperative complications; kidney calices; rup- ture.
INTRODUCTION
Renal calyceal rupture, which is a radiographical finding indicating perirenal urinary extravasation associated with ureteric obstruction, is a rarely encountered clinical situation in urology. There are few cases reported in the literature. Moreover, the ma- jority of reported cases are associated with ureteric calculi.(1) We present a male patient, who developed an unusual complication when performing a suprapubic cystostomy.
CASE REPORT
A 60-year-old man in vegetative state due to diffuse anoxic brain injury came to our hospital for 1 week fever and hematuria. He had kept urethral catheter for 5 years and experienced similar manifestations 3 months ago. His vital signs were as follows: blood pressure, 130/75 mmHg; pulse, 84 beats per minute and regular; respirations, 20 per minute; and body temperature, 38.0°C. Blood tests showed a leukocyte count of 13.2 × 109/L with predominant neutrophils, C-reactive protein 7.1 mg/dL, blood urea nitrogen 15 mg/dL, and serum creatinine 1.2 mg/ dL. Urinalysis showed 20 to 29 red cells and 30 to 49 white cells per field under high-power magnification. Antibiotic therapy was started, and acute pyelonephritis which caused the fever was resolved.
Suprapubic cystostomy was planned in order to reduce re- current...