Spontaneous Rupture of the Kidney Due to Acute Lymphoblastic Leukemia: The First Episode and a Glance on the Literature
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Abstract
Spontaneous rupture of the kidney consists of the atraumatic disruption of the renal parenchyma, followed by hemorrhage or leakage of urine into the perinephric space.
A17 years old male known case of Acute Lymphoblastic Leukemia (ALL), referred to the urology department with right loin pain and fever for 3days. There was no history of trauma. Investigations revealed low hemoglobin, low platelets 18000 and urine analysis showed pus cells 14-18 cell/HPF and RBCs 2-4 /HPF. Renal functions tests and coagulation profile were normal. CT urography showed bulky right kidney with mid pole laceration leaking of the contrast in the perinephric space.
Conservative treatment was done (Double j insertion-ultrasound guided aspiration). Postoperatively he was generally well, afebrile, pain subside and repeated abdominal U/S showed no collection. Conservative management can be appropriate where clinical signs stabilize.
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Hann IM, Lees PD, Palmer MK, Gupta S, Morris-Jones PH (1981) renal size as a prognostic factor in childhood acute lymphoblastic leukemia. Cancer 48: 207–209. Link: https://goo.gl/neEwcP
Fer MF, McKinney TD, Richardson RL, Hande KR, Oldham RK, et al. (1981) Cancer and the kidney: complications of neoplasms. Am J Med 71: 704–718. Link: https://goo.gl/zQ68uJ
Kopecna L (2001) late effects of anticancer therapy on kidney function in children with acute lymphoblastic leukemia. Bratisl Lek Listy 102: 357–360. Link: https://goo.gl/9y5emT
The American Association for the Surgery of the Trauma (AAST) injury scoring scale for kidney injuries. Link: https://goo.gl/6ExTiR
Wunderlich CRA (1856) Handbuch der Pathologie und Therapie. Stuttgart: Ebnert Seubert.
Zapzalka DM, Thompson HA, Borowsky SS, Coleman Steenson CC, Mahowald ML, et al. (1988) Polyarteritis nodosa presenting as spontaneous bilateral perinephric hemorrhage: management with selective arterial embolization. J Urol 164: 1294–1295. Link: https://goo.gl/1mgeQp
Kendall AR, Senay BA, Coll ME (1988) Spontaneous subcapsular renal hematoma: diagnosis and management. J Urol 139: 246–250. Link: https://goo.gl/58jXXd
Levine E, Grantham JJ, MacDougall ML (1977) Spontaneous subcapsular and perinephric hemorrhage in end-stage kidney disease: clinical and CT findings. AJR Am J Roentgenol 148: 755–758. Link: https://goo.gl/Vtbmwx
Milutinovich J, Follette WC, Scribner BH (1977) Spontaneous retroperitoneal bleeding in patients on chronic hemodialysis. Ann Intern Med 86: 189–192. Link: https://goo.gl/DN8CtM
Pak K, Tomoyoshi T, Nishimura N (1986) Spontaneous renal subcapsular hematoma in a patient undergoing hemodialysis. J Urol 135: 117–119. Link: https://goo.gl/Z8n93Y
Escobar H, Häffner K, Pohl M, Hopfer H, Determann O, et al. (2009) Acute renal failure associated with bilateral enlargement of the kidneys: a rare manifestation of acute lymphoblastic leukemia (ALL). Klin Padiatr221: 176–178. Link: https://goo.gl/scXzKX
Sato A, Sato A, Imaizumi M, Imaizumi M, Chikaoka S, et al. (2011) acute renal failure due to leukemic cell infiltration followed by relapse at multiple extramedullary sites in a child with acute lymphoblastic leukemia. Leuk Lymphoma 45: 825–828. Link: https://goo.gl/FjYvBP
Larsen G, Loghman AM (1996) acute renal failure with hyperuricemia as initial presentation of leukemia in children. J Pediatr Hematol Oncol 18: 191–194. Link: https://goo.gl/uq5rFz
Howard SC, Kaplan SD, Razzouk BI, Rivera GK, Sandlund JT, et al. (2003) Urolithiasis in pediatric patients with acute lymphoblastic leukemia.Leukemia17: 541–546. Link: https://goo.gl/QD9dEU
Sevgi Y, S Olgar, Tulin Aras, Mualla C ¸ Ali D, et al. (2015) Evaluation of Kidney Damage in Patients With Acute Lymphoblastic Leukemia in Long-Term Follow-Up: Value of Renal Scan. American Journal of Hematology 77: 132–139.Link: https://goo.gl/VkU6nE
McDougal WS, Kursh ED, Persky L (1975) Spontaneous rupture of the kidney with perirenal haematoma. J Urol
: 181-184. Link: https://goo.gl/eF4KSg
Zhang JQ, Fielding JR, Zou KH (2002) Etiology of spontaneous perirenal haemorrhage: a meta-analysis. J Urol 167: 1593-1596. Link: https://goo.gl/Eh8TWV
Morgentaler A, Belville JS, Tumeh SS, Richie JP, Loughlin KR (1990) Rational approach to evaluation and management of spontaneous perirenal haemorrhage. Surg Gynecol Obstet 170: 121-125. Link: https://goo.gl/dDVpGQ
Belville JS, Morgentaler A, Loughlin KR, Tumeh SS. (1989) Spontaneous perinephric and subcapsular renal haemorrhage: evaluation with CT, US and angiography. Radiology 172: 733-738. Link: https://goo.gl/d11q1z
Zhang JQ, Fielding JR, Zou KH (2002) Etiology of spontaneous perirenal haemorrhage: a meta-analysis. J Urol 167: 1593-1596. Link: https://goo.gl/bmS45C
Cinman AC, Faner J, Kaufman JJ (1985) Spontaneous perinephric haemorrhage in a 65-year-old man. J Urol 133: 829-832. Link: https://goo.gl/udCXTm
Bagley DH, Feldman RA, Glazier W, Trauig A, Krauss P (1982) Spontaneous retroperitoneal haemorrhage from renal carcinoma. JAMA 248: 720-721. Link: https://goo.gl/zWpPKd
Kendall AR, Senay BA, Coll ME (1988) Spontaneous subcapsular renal haematoma: diagnosis and management. J Urol 139: 246-250. Link: https://goo.gl/D85CKr
Novicki DE, Turlington JT, Ball TP (1980) the evaluation and management of spontaneous perirenal haemorrhage. J Urol 123: 764-765. Link: https://goo.gl/gyFzxz
Morgentaler A, Belville JS, Tumeh SS, Richie JP, Loughlin KR (2003) rational approach to evaluation and management of spontaneous perirenal haemorrhage. Surg Gynecol Obstet 170: 121-125. Link: https://goo.gl/ahJtMm
Howalt JS, Squires JW (1972) Spontaneous rupture of the kidney: A case of a traumatic retroperitoneal bleeding. Am J Surg 123: 484-488. Link: https://goo.gl/CtCQpD
Uson AC, Knappenberger ST, Melicow MM (1959) Nontraumatic perirenal haematomas: a report based on 7 cases. J Urol 81: 388. Link: https://goo.gl/TVvv6p
Bosniak MA (1989) Spontaneous subcapsular and perirenal haematomas. Radiology 172: 601-612. Link: https://goo.gl/fqA6Wa
Gupta NP, Karan SC, Aron M, Pawar R, Ansari M S (2000) Spontaneous perirenal haematoma: A case report and review of literature. Urol Int 64: 213-215. Link: https://goo.gl/vnATVs