{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:41:54Z","timestamp":1782603714552,"version":"3.54.5"},"reference-count":12,"publisher":"BMJ","issue":"6","content-domain":{"domain":["bmj.com"],"crossmark-restriction":true},"short-container-title":["BMJ Case Rep"],"accepted":{"date-parts":[[2021,5,11]]},"published-print":{"date-parts":[[2021,6]]},"abstract":"<jats:p>A 30-year-old woman presented with right-sided abdominal pain associated with fever. Her ultrasound showed right renal calculus with no hydronephrosis along with collection in peritoneal cavity and pouch of Douglas. CT showed ruptured right kidney with multiple renal and ureteric calculi as well as displaced renal calculi in perinephric space and pararenal space. Exploratory laparotomy and right nephroureterectomy were done. Nephrolithiasis with secondary infection makes the kidney fragile due to pathological changes, which may cause rupture of the renal calyces with trivial trauma or may be spontaneous. Distal obstruction by the stone and increased back pressure in the calyces may have added to the spontaneous rupture of the calyx and subsequently renal parenchyma. Management includes early exploration with nephrectomy and it is often life saving.<\/jats:p>","DOI":"10.1136\/bcr-2020-240910","type":"journal-article","created":{"date-parts":[[2021,6,21]],"date-time":"2021-06-21T12:15:06Z","timestamp":1624277706000},"page":"e240910","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":5,"title":["Surgical management of spontaneously ruptured kidney with peritonitis due to neglected renal and ureteric calculi"],"prefix":"10.1136","volume":"14","author":[{"given":"Kumar","family":"Prem","sequence":"first","affiliation":[{"name":"Urology, Ranchi Urology Centre, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Singh","family":"Smita","sequence":"additional","affiliation":[{"name":"Obstetrics and Gynecology, Ranchi Urology Centre, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kumar","family":"Pankaj","sequence":"additional","affiliation":[{"name":"Urology, Ranchi Urology Centre, Ranchi, Jharkhand, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Prem","family":"Pragya","sequence":"additional","affiliation":[{"name":"Sri Ramachandra Institute of Higher Education and Research, Chennai, Tamil Nadu, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2021,6,21]]},"reference":[{"key":"2025082712391037000_14.6.e240910.1","doi-asserted-by":"crossref","first-page":"192","DOI":"10.4081\/cp.2012.e77","article-title":"Spontaneous rupture of kidney: a rare presentation of nephrolithiasis","volume":"2","author":"Chaudhary","year":"2012","journal-title":"Clin Pract"},{"key":"2025082712391037000_14.6.e240910.2","doi-asserted-by":"crossref","first-page":"191","DOI":"10.1016\/j.afju.2013.09.001","article-title":"Spontaneous calyceal rupture caused by a ureteral calculus","volume":"19","author":"Chaabouni","year":"2013","journal-title":"Afr J Urol"},{"key":"2025082712391037000_14.6.e240910.3","doi-asserted-by":"crossref","first-page":"108","DOI":"10.12998\/wjcc.v2.i4.108","article-title":"Spontaneous rupture of the renal pelvis presenting as an urinoma in locally advanced rectal cancer","volume":"2","author":"Garg","year":"2014","journal-title":"World J Clin Cases"},{"key":"2025082712391037000_14.6.e240910.4","first-page":"1","article-title":"Spontaneous forniceal rupture in pregnancy","volume":"2015","author":"Upputalla","year":"2015","journal-title":"Case Rep Nephrol"},{"key":"2025082712391037000_14.6.e240910.5","first-page":"1151","article-title":"Ureteropelvic Junction Rupture - 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