{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,29]],"date-time":"2026-05-29T14:45:00Z","timestamp":1780065900305,"version":"3.54.0"},"reference-count":26,"publisher":"Springer Science and Business Media LLC","issue":"1","content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["World J Surg Onc"],"published-print":{"date-parts":[[2011,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n          <jats:p>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.<\/jats:p>","DOI":"10.1186\/1477-7819-9-39","type":"journal-article","created":{"date-parts":[[2011,4,13]],"date-time":"2011-04-13T06:21:25Z","timestamp":1302675685000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":14,"title":["Spontaneous intraperitoneal rupture of pyonephrosis in a patient with unknown kidney carcinosarcoma: a case report"],"prefix":"10.1186","volume":"9","author":[{"given":"Silvia","family":"Quaresima","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio","family":"Manzelli","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Edoardo","family":"Ricciardi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Athanasios","family":"Petrou","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nicholas","family":"Brennan","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alessandro","family":"Mauriello","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Piero","family":"Rossi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2011,4,12]]},"reference":[{"key":"791_CR1","doi-asserted-by":"publisher","first-page":"612","DOI":"10.1016\/0002-9610(71)90152-8","volume":"121","author":"P Balas","year":"1971","unstructured":"Balas P, Seqditsas T, Antonopoulos D: Peritonitis after spontaneous rupture of pyonephrotic kidney into a peritoneal cavity. American Journal of Surgery. 1971, 121: 612-13. 10.1016\/0002-9610(71)90152-8.","journal-title":"American Journal of Surgery"},{"key":"791_CR2","doi-asserted-by":"publisher","first-page":"414","DOI":"10.1111\/j.1464-410X.1969.tb09941.x","volume":"14","author":"ES Glen","year":"1969","unstructured":"Glen ES: Spontaneous intraperitoneal rupture of hydronephrosis. British Journal of Urology. 1969, 14: 414-16. 10.1111\/j.1464-410X.1969.tb09941.x.","journal-title":"British Journal of Urology"},{"key":"791_CR3","doi-asserted-by":"publisher","first-page":"68","DOI":"10.1002\/bjs.18004518915","volume":"45","author":"RE Shaw","year":"1957","unstructured":"Shaw RE: Spontaneous rupture of the kidney. British Journal of Surgery. 1957, 45: 68-72. 10.1002\/bjs.18004518915.","journal-title":"British Journal of Surgery"},{"issue":"2","key":"791_CR4","doi-asserted-by":"publisher","first-page":"176","DOI":"10.1001\/archinte.1965.03860140056012","volume":"115","author":"GR Joachim","year":"1965","unstructured":"Joachim GR, Becker R: Spontaneous rupture of kidney. Arch Intern Med. 1965, 115 (2): 176-183.","journal-title":"Arch Intern Med"},{"issue":"8","key":"791_CR5","first-page":"449","volume":"53","author":"BS Abeshouse","year":"1949","unstructured":"Abeshouse BS: Perinephritis and perinephric abscess; a study of 37 cases. Urol Cutaneous Rev. 1949, 53 (8): 449-65.","journal-title":"Urol Cutaneous Rev"},{"issue":"6","key":"791_CR6","first-page":"790","volume":"26","author":"CP Math\u00e9","year":"1927","unstructured":"Math\u00e9 CP, Oviedo GF: Spontaneous rupture of a hydronephrotic sac secondary to ureteral stone. Cal West Med. 1927, 26 (6): 790-5.","journal-title":"Cal West Med"},{"key":"791_CR7","doi-asserted-by":"publisher","first-page":"137","DOI":"10.1111\/j.1464-410X.1963.tb02607.x","volume":"35","author":"JB Miller","year":"1963","unstructured":"Miller JB, Kaufman JJ: Spontaneous Rupture Of The Kidney By Tumour. British Journal of Urology. 1963, 35: 137-142. 10.1111\/j.1464-410X.1963.tb02607.x.","journal-title":"British Journal of Urology"},{"key":"791_CR8","doi-asserted-by":"publisher","first-page":"556","DOI":"10.1002\/1097-0142(196809)22:3<556::AID-CNCR2820220310>3.0.CO;2-N","volume":"22","author":"GM Farow","year":"1968","unstructured":"Farow GM, Harrison EG, Utz DC: Sarcomas and sarcomatoid and mixed malignant tumors of the kidney in adults, part III. Cancer. 1968, 22: 556-563. 10.1002\/1097-0142(196809)22:3<556::AID-CNCR2820220310>3.0.CO;2-N.","journal-title":"Cancer"},{"key":"791_CR9","doi-asserted-by":"publisher","first-page":"435","DOI":"10.1097\/00000478-200404000-00002","volume":"28","author":"JC Cheville","year":"2004","unstructured":"Cheville JC: Sarcomatoid renal cell carcinoma. An examination of underlying histologic subtype and an analysis of associations with patient outcome. Am J Surg Pathol. 2004, 28: 435-10.1097\/00000478-200404000-00002.","journal-title":"Am J Surg Pathol"},{"key":"791_CR10","doi-asserted-by":"publisher","first-page":"1313","DOI":"10.1002\/1097-0142(19870915)60:6<1313::AID-CNCR2820600625>3.0.CO;2-1","volume":"60","author":"A Sella","year":"1987","unstructured":"Sella A, Logothetis CJ, Ro JY, Swanson DA, Samuels ML: Sarcomatoid renal cell carcinoma: a treatable entity. Cancer. 1987, 60: 1313-10.1002\/1097-0142(19870915)60:6<1313::AID-CNCR2820600625>3.0.CO;2-1.","journal-title":"Cancer"},{"key":"791_CR11","doi-asserted-by":"publisher","first-page":"847","DOI":"10.1038\/sj.onc.1206153","volume":"13","author":"K Yamazaki","year":"2003","unstructured":"Yamazaki K, Sakamoto M, Ohta T, Kanai Y, Ohki M, Hirohashi S: Overexpression of KIT in chromophobe renal cell carcinoma. Oncogene. 2003, 13: 847-10.1038\/sj.onc.1206153.","journal-title":"Oncogene"},{"issue":"2","key":"791_CR12","first-page":"154","volume":"51","author":"VA G\u00f3mez","year":"1998","unstructured":"G\u00f3mez VA: Carcinoma renal sarcomatoide. Arch Esp Urol. 1998, 51 (2): 154-158.","journal-title":"Arch Esp Urol"},{"issue":"3","key":"791_CR13","first-page":"199","volume":"46","author":"Jl Guti\u00e9rrez Ba\u00f1os","year":"1993","unstructured":"Guti\u00e9rrez Ba\u00f1os Jl: Carcinoma renal sarcomatoide. A prop\u00f3sito de 9 casos. Arch Esp Urol. 1993, 46 (3): 199-202.","journal-title":"Arch Esp Urol"},{"issue":"1","key":"791_CR14","doi-asserted-by":"crossref","first-page":"25","DOI":"10.1016\/S0022-5347(17)43860-2","volume":"137","author":"F Bertoni","year":"1987","unstructured":"Bertoni F, Ferri C, Benati A, Bacchini P, Corrado F: Sarcomatoid carcinoma of the kidney. J Urol. 1987, 137 (1): 25-28.","journal-title":"J Urol"},{"issue":"2","key":"791_CR15","doi-asserted-by":"publisher","first-page":"353","DOI":"10.1148\/radiology.162.2.3797647","volume":"162","author":"A Shirkhoda","year":"1987","unstructured":"Shirkhoda A, Lewis E: Renal sarcoma and sarcomatoid renal cell carcinoma: CT and angiographic features. Radiology. 1987, 162 (2): 353-357.","journal-title":"Radiology"},{"issue":"4","key":"791_CR16","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1016\/S0022-5347(17)51388-9","volume":"130","author":"Km Tomera","year":"1983","unstructured":"Tomera Km, Farrow Gm, Lieber MM: Sarcomatoid renal carcinoma. J Urol. 1983, 130 (4): 657-659.","journal-title":"J Urol"},{"issue":"3","key":"791_CR17","doi-asserted-by":"publisher","first-page":"275","DOI":"10.1097\/00000478-200103000-00001","volume":"25","author":"M De Peralta-Venturina","year":"2001","unstructured":"De Peralta-Venturina M, Moch H, Amin M: Sarcomatoid differentation in renal cell carcinoma: a study of 101 cases. Am J Surg Pathol. 2001, 25 (3): 275-284. 10.1097\/00000478-200103000-00001.","journal-title":"Am J Surg Pathol"},{"issue":"2","key":"791_CR18","first-page":"81","volume":"60","author":"R M'Bida","year":"2005","unstructured":"M'Bida R, Errougani A, El Absi M: Clinical case of the month. Peritonitis after spontaneous rupture of pyonephrosis. A case report Rev Med Liege. 2005, 60 (2): 81-3.","journal-title":"A case report Rev Med Liege"},{"issue":"1","key":"791_CR19","first-page":"31","volume":"33","author":"R Rabii","year":"1999","unstructured":"Rabii R, Rais H, Sarf I: Peritonitis caused by spontaneous rupture of pyonephrosis in pregnancy. Report of a case. Ann Urol (Paris). 1999, 33 (1): 31-5.","journal-title":"Ann Urol (Paris)"},{"issue":"1","key":"791_CR20","first-page":"13","volume":"32","author":"M Hafiani","year":"1998","unstructured":"Hafiani M, el Mrini M, Bennani S, Debbagh A, Sarf I, Rabii R, Benjelloun S: Peritonitis due to spontaneous rupture of pyonephrosis. Apropos of a case. Ann Urol (Paris). 1998, 32 (1): 13-4.","journal-title":"Ann Urol (Paris)"},{"issue":"3","key":"791_CR21","first-page":"130","volume":"102","author":"MS Hendaoui","year":"1996","unstructured":"Hendaoui MS, Abed A, M'Saad W, Chelli H, Hendaoui L: A rare complication of renal lithiasis: peritonitis and splenic abscess caused by rupture of pyonephrosis. J Urol (Paris). 1996, 102 (3): 130-3.","journal-title":"J Urol (Paris)"},{"issue":"11","key":"791_CR22","first-page":"477","volume":"129","author":"P Meria","year":"1992","unstructured":"Meria P, Corbel L, Mendelsberg M, Chevallier JM, Dufour B: Peritonitis after spontaneous rupture of a pyonephrosis into the peritoneal cavity. Apropos of a case. J Chir (Paris). 1992, 129 (11): 477-8.","journal-title":"J Chir (Paris)"},{"issue":"1","key":"791_CR23","first-page":"62","volume":"43","author":"JA Romero","year":"1990","unstructured":"Romero JA, Piulachs J, Bielsa O, Corominas S, Mallafr\u00e9 JM, Carretero P: Pyonephrosis as a cause of acute peritonitis. Review of the literature and report of a case. Arch Esp Urol. 1990, 43 (1): 62-4.","journal-title":"Arch Esp Urol"},{"issue":"5","key":"791_CR24","first-page":"240","volume":"130","author":"P Michel","year":"1993","unstructured":"Michel P, Pagliano G: Peritonitis caused by rupture of a retroperitoneal abscess. J Chir (Paris). 1993, 130 (5): 240-6.","journal-title":"J Chir (Paris)"},{"issue":"3","key":"791_CR25","first-page":"263","volume":"47","author":"W Beany","year":"1993","unstructured":"Beany W: Une cause inhabituelle de p\u00e9ritonite g\u00e9n\u00e9ralis\u00e9e: la rapture intrap\u00e9ritoneal d'un kyste infect\u00e9 de l'ouraque. Ann Chir. 1993, 47 (3): 263-6.","journal-title":"Ann Chir"},{"issue":"5","key":"791_CR26","first-page":"356","volume":"21","author":"H Bittard","year":"1987","unstructured":"Bittard H, Mantion G, Gillet M: Cancer of the kidney manifested by stercoral peritonitis. Ann Urol (Paris). 1987, 21 (5): 356-8.","journal-title":"Ann Urol (Paris)"}],"container-title":["World Journal of Surgical Oncology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/1477-7819-9-39.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2021,9,1]],"date-time":"2021-09-01T13:10:20Z","timestamp":1630501820000},"score":1,"resource":{"primary":{"URL":"https:\/\/wjso.biomedcentral.com\/articles\/10.1186\/1477-7819-9-39"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2011,4,12]]},"references-count":26,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2011,12]]}},"alternative-id":["791"],"URL":"https:\/\/doi.org\/10.1186\/1477-7819-9-39","relation":{},"ISSN":["1477-7819"],"issn-type":[{"value":"1477-7819","type":"electronic"}],"subject":[],"published":{"date-parts":[[2011,4,12]]},"assertion":[{"value":"15 October 2010","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 April 2011","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"12 April 2011","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}}],"article-number":"39"}}