Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction

Mzyiene Mohammed; Ziba Ouima Justin Dieudonné; Adnan Ettanji; Bekkaoui Oussami; Garcia Leal Carmina; Manescu Mihai Razvan

doi:doi:10.11648/j.wjmcr.20210201.15

Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction

Mzyiene Mohammed, Ziba Ouima Justin Dieudonné, Adnan Ettanji, Bekkaoui Oussami, Garcia Leal Carmina, Manescu Mihai Razvan

Published in World Journal of Medical Case Reports (Volume 2, Issue 1)

Received: 15 February 2021 Accepted: 1 March 2021 Published: 9 March 2021

Views: Downloads:

Download PDF

Share This Article

Twitter
Linked In
Facebook

Abstract

Rupture of the pyelocaliceal cavities or rupture of the renal fornix (RFR) with retro-peritoneal extravasation of urine is a rare urological complication most frequently associated with acute obstruction of the urinary tract by a calculus. It is a potential urologic emergency and management of a fornix rupture is not standardized. The aim of this case report is to highlight fecal impactation as a rare cause of spontaneous renal fornical rupture in an elderly woman and to present our management. We present the case of a 84-year-old Ms, admitted in emergency room with an occlusive syndrome associated with acute urinary retention. An initial biological assessment was carried out objectifying: Hemoglobin 16.4 g/dl, a biological inflammatory syndrome with leukocytes at 17,500/mm predominantly neutrophils at 14,670/mm, Platelets at 1,29,000/mm, PCR at 115 mg/l, TP at 79%, Creatinine at 196umol/l, urea at 21.8 mmol/m, serum potassium at 3.81 mmol/l, slight hyper natremia at 148 mmol/l and hypoproteinemia at 52.9 g/l. The contrast enhanced computed tomography realed a giant fecal impactation with hydronephrosis and rupture of the fornix in connection with the giant fecal impaction. Evacuation of the fecalome and the placement of double –J ureteral stent led to a clinical and biologic improvement of the patient’s health. The Computed Tomography (CT) review at 6 weeks showed a disappearance of the leakage of contrast product and the absence of dilation of the pyelo-caliceal cavities with a double -J stent in place. This case illustrates a conservative management of rupture of pyelocaliceal cavities.

Published in	World Journal of Medical Case Reports (Volume 2, Issue 1)
DOI	10.11648/j.wjmcr.20210201.15
Page(s)	15-18
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2021. Published by Science Publishing Group

Keywords

Fornix, Fecal Impaction, Jj Stent, Renal Failure, Fecalome, Urinoma, Hydronephrosis

References

[1]	Porfyris O, Apostolidi E, Mpampali A, Kalomoiris P. Spontaneous rupture of renal pelvis as a rare complication of ureteral lithiasis. Turk J Urol. mars 2016; 42 (1): 37-40.
[2]	Preston DM, Lennard-Jones JE. Severe chronic constipation of young women: «idiopathic slow transit constipation». Gut. janv 1986; 27 (1): 41-8.
[3]	Kerrigan DD, Lucas MG, Sun WM, Donnelly TC, Read NW. Idiopathic constipation associated with impaired urethrovesical and sacral reflex function. BJS Br J Surg. 1989; 76 (7): 748-51.
[4]	O’Regan S, Yazbeck S, Schick E. Constipation, bladder instability, urinary tract infection syndrome. Clin Nephrol. mars 1985; 23 (3): 152-4.
[5]	Dohil R, Roberts E, Jones KV, Jenkins HR. Constipation and reversible urinary tract abnormalities. Arch Dis Child. janv 1994; 70 (1): 56-7.
[6]	Doehn C, Fiola L, Peter M, Jocham D. Outcome analysis of fornix ruptures in 162 consecutive patients. J Endourol. nov 2010; 24 (11): 1869-73.
[7]	Morgan TN, Bandari J, Shahait M, Averch T. Renal Forniceal Rupture: Is Conservative Management Safe? Urology. nov 2017; 109: 51-4.
[8]	Stathopoulos L, Merrot T, Chaumoître K, Bretelle F, Michel F, Alessandrini P. Prenatal Urinoma Related to Ureteropelvic Junction Obstruction: Poor Prognosis of the Affected Kidney. Urology. 1 juill 2010; 76 (1): 190-4.
[9]	Garg PK, Mohanty D, Rathi V, Jain BK. Spontaneous rupture of the renal pelvis presenting as an urinoma in locally advanced rectal cancer. World J Clin Cases WJCC. 16 avr 2014; 2 (4): 108-10.
[10]	Bannowsky A. Iatrogenic fornix rupture caused during retrograde manipulation of the ureter: a case report. Cases J. 17 nov 2008; 1: 3 20.
[11]	Gershman B, Kulkarni N, Sahani DV, Eisner BH. Causes of renal forniceal rupture. BJU Int. déc 2011; 108 (11): 1909-11; discussion 1912.
[12]	Setia SA, Massie PL, Epsten MJ, Sharma A, Fogg L, Cherullo EE, et al. Renal Forniceal Rupture in the Setting of Obstructing Ureteral Stones: An Analysis of Stone Characterization and Urologic Intervention Pattern. J Endourol. mars 2020; 34 (3): 373-8.
[13]	Larrache Y, Elidrissi Alami O, Nedjima S, Dakir M, Debbagh A, Aboutaieb R. Spontaneous renal forniceal rupture due to a bladder tumor. Urol Case Rep. nov 2020; 33: 101340.
[14]	Psychogenic Urinary Retention in Children: A Case Report - ScienceDirect [Internet]. [cité 27 févr 2021]. Disponible sur: https://www.sciencedirect.com/science/article/pii/S1875957210600587.
[15]	Gallo D, Presman D. Urinary retention due to fecal impaction in children. Pediatrics. févr 1970; 45 (2): 292-4.
[16]	Breun H, Csapo Z, Sigel A. [Fornix rupture--a review of pathophysiology and clinical aspects]. Urol Ausg A. nov 1989; 28 (6): 329-33.
[17]	Starer P, Likourezos A, Dumapit G. The association of fecal impaction and urinary retention in elderly nursing home patients. Arch Gerontol Geriatr. 1 févr 2000; 30 (1): 47-54.
[18]	Ney C, Hyman RM. Complete urinary retention in female. Am J Surg. janv 1954; 87 (1): 34-40.
[19]	Read NW, Abouzekry L. Why do patients with faecal impaction have faecal incontinence. Gut. mars 1986; 27 (3): 283-7.
[20]	Dg K, Ct T. Choice of electrode in electromyography of the external urethral and anal sphincters. J Urol. 1 juill 1980; 124 (1): 75-7.
[21]	Conde Santos G, Bielsa Gali O, Arango Toro O, Alonso Gracia N, Gelabert Más A. [Extrinsic ureteral obstruction secondary to inflammatory gynecologic pathology]. Arch Esp Urol. mars 2003; 56 (2): 181-5.
[22]	Al-Mujalhem AG, Aziz MSA, Sultan MF, Al-Maghraby AM, Al-Shazly MA. Spontaneous forniceal rupture: Can it be treated conservatively? Urol Ann. mars 2017; 9 (1): 41-4.

Cite This Article

Plain Text BibTeX RIS

APA Style

Mzyiene Mohammed, Ziba Ouima Justin Dieudonné, Adnan Ettanji, Bekkaoui Oussami, Garcia Leal Carmina, et al. (2021). Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction. World Journal of Medical Case Reports, 2(1), 15-18. https://doi.org/10.11648/j.wjmcr.20210201.15

Copy | Download

ACS Style

Mzyiene Mohammed; Ziba Ouima Justin Dieudonné; Adnan Ettanji; Bekkaoui Oussami; Garcia Leal Carmina, et al. Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction. World J. Med. Case Rep. 2021, 2(1), 15-18. doi: 10.11648/j.wjmcr.20210201.15

Copy | Download

AMA Style

Mzyiene Mohammed, Ziba Ouima Justin Dieudonné, Adnan Ettanji, Bekkaoui Oussami, Garcia Leal Carmina, et al. Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction. World J Med Case Rep. 2021;2(1):15-18. doi: 10.11648/j.wjmcr.20210201.15

Copy | Download

@article{10.11648/j.wjmcr.20210201.15,
  author = {Mzyiene Mohammed and Ziba Ouima Justin Dieudonné and Adnan Ettanji and Bekkaoui Oussami and Garcia Leal Carmina and Manescu Mihai Razvan},
  title = {Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction},
  journal = {World Journal of Medical Case Reports},
  volume = {2},
  number = {1},
  pages = {15-18},
  doi = {10.11648/j.wjmcr.20210201.15},
  url = {https://doi.org/10.11648/j.wjmcr.20210201.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20210201.15},
  abstract = {Rupture of the pyelocaliceal cavities or rupture of the renal fornix (RFR) with retro-peritoneal extravasation of urine is a rare urological complication most frequently associated with acute obstruction of the urinary tract by a calculus. It is a potential urologic emergency and management of a fornix rupture is not standardized. The aim of this case report is to highlight fecal impactation as a rare cause of spontaneous renal fornical rupture in an elderly woman and to present our management. We present the case of a 84-year-old Ms, admitted in emergency room with an occlusive syndrome associated with acute urinary retention. An initial biological assessment was carried out objectifying: Hemoglobin 16.4 g/dl, a biological inflammatory syndrome with leukocytes at 17,500/mm predominantly neutrophils at 14,670/mm, Platelets at 1,29,000/mm, PCR at 115 mg/l, TP at 79%, Creatinine at 196umol/l, urea at 21.8 mmol/m, serum potassium at 3.81 mmol/l, slight hyper natremia at 148 mmol/l and hypoproteinemia at 52.9 g/l. The contrast enhanced computed tomography realed a giant fecal impactation with hydronephrosis and rupture of the fornix in connection with the giant fecal impaction. Evacuation of the fecalome and the placement of double –J ureteral stent led to a clinical and biologic improvement of the patient’s health. The Computed Tomography (CT) review at 6 weeks showed a disappearance of the leakage of contrast product and the absence of dilation of the pyelo-caliceal cavities with a double -J stent in place. This case illustrates a conservative management of rupture of pyelocaliceal cavities.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction
AU  - Mzyiene Mohammed
AU  - Ziba Ouima Justin Dieudonné
AU  - Adnan Ettanji
AU  - Bekkaoui Oussami
AU  - Garcia Leal Carmina
AU  - Manescu Mihai Razvan
Y1  - 2021/03/09
PY  - 2021
N1  - https://doi.org/10.11648/j.wjmcr.20210201.15
DO  - 10.11648/j.wjmcr.20210201.15
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 15
EP  - 18
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20210201.15
AB  - Rupture of the pyelocaliceal cavities or rupture of the renal fornix (RFR) with retro-peritoneal extravasation of urine is a rare urological complication most frequently associated with acute obstruction of the urinary tract by a calculus. It is a potential urologic emergency and management of a fornix rupture is not standardized. The aim of this case report is to highlight fecal impactation as a rare cause of spontaneous renal fornical rupture in an elderly woman and to present our management. We present the case of a 84-year-old Ms, admitted in emergency room with an occlusive syndrome associated with acute urinary retention. An initial biological assessment was carried out objectifying: Hemoglobin 16.4 g/dl, a biological inflammatory syndrome with leukocytes at 17,500/mm predominantly neutrophils at 14,670/mm, Platelets at 1,29,000/mm, PCR at 115 mg/l, TP at 79%, Creatinine at 196umol/l, urea at 21.8 mmol/m, serum potassium at 3.81 mmol/l, slight hyper natremia at 148 mmol/l and hypoproteinemia at 52.9 g/l. The contrast enhanced computed tomography realed a giant fecal impactation with hydronephrosis and rupture of the fornix in connection with the giant fecal impaction. Evacuation of the fecalome and the placement of double –J ureteral stent led to a clinical and biologic improvement of the patient’s health. The Computed Tomography (CT) review at 6 weeks showed a disappearance of the leakage of contrast product and the absence of dilation of the pyelo-caliceal cavities with a double -J stent in place. This case illustrates a conservative management of rupture of pyelocaliceal cavities.
VL  - 2
IS  - 1
ER  -

Copy | Download

Author Information

Mzyiene Mohammed

Department of Urology, Centre Hospitalier de Troyes, Troyes, France
Ziba Ouima Justin Dieudonné

Departement of Urology, Centre Hospitalier Universitaire Hassan 2, University Sidi Mohamed Ben Abdellah, Fez, Morocco
Adnan Ettanji

Department of Urology, Centre Hospitalier de Troyes, Troyes, France
Bekkaoui Oussami

Department of Urology, Centre Hospitalier de Troyes, Troyes, France
Garcia Leal Carmina

Department of Urology, Centre Hospitalier de Troyes, Troyes, France
Manescu Mihai Razvan

Department of Urology, Centre Hospitalier de Troyes, Troyes, France

Download PDF

Sections

Plain Text BibTeX RIS

APA Style

Mzyiene Mohammed, Ziba Ouima Justin Dieudonné, Adnan Ettanji, Bekkaoui Oussami, Garcia Leal Carmina, et al. (2021). Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction. World Journal of Medical Case Reports, 2(1), 15-18. https://doi.org/10.11648/j.wjmcr.20210201.15

Copy | Download

ACS Style

Mzyiene Mohammed; Ziba Ouima Justin Dieudonné; Adnan Ettanji; Bekkaoui Oussami; Garcia Leal Carmina, et al. Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction. World J. Med. Case Rep. 2021, 2(1), 15-18. doi: 10.11648/j.wjmcr.20210201.15

Copy | Download

AMA Style

Mzyiene Mohammed, Ziba Ouima Justin Dieudonné, Adnan Ettanji, Bekkaoui Oussami, Garcia Leal Carmina, et al. Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction. World J Med Case Rep. 2021;2(1):15-18. doi: 10.11648/j.wjmcr.20210201.15

Copy | Download

@article{10.11648/j.wjmcr.20210201.15,
  author = {Mzyiene Mohammed and Ziba Ouima Justin Dieudonné and Adnan Ettanji and Bekkaoui Oussami and Garcia Leal Carmina and Manescu Mihai Razvan},
  title = {Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction},
  journal = {World Journal of Medical Case Reports},
  volume = {2},
  number = {1},
  pages = {15-18},
  doi = {10.11648/j.wjmcr.20210201.15},
  url = {https://doi.org/10.11648/j.wjmcr.20210201.15},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.wjmcr.20210201.15},
  abstract = {Rupture of the pyelocaliceal cavities or rupture of the renal fornix (RFR) with retro-peritoneal extravasation of urine is a rare urological complication most frequently associated with acute obstruction of the urinary tract by a calculus. It is a potential urologic emergency and management of a fornix rupture is not standardized. The aim of this case report is to highlight fecal impactation as a rare cause of spontaneous renal fornical rupture in an elderly woman and to present our management. We present the case of a 84-year-old Ms, admitted in emergency room with an occlusive syndrome associated with acute urinary retention. An initial biological assessment was carried out objectifying: Hemoglobin 16.4 g/dl, a biological inflammatory syndrome with leukocytes at 17,500/mm predominantly neutrophils at 14,670/mm, Platelets at 1,29,000/mm, PCR at 115 mg/l, TP at 79%, Creatinine at 196umol/l, urea at 21.8 mmol/m, serum potassium at 3.81 mmol/l, slight hyper natremia at 148 mmol/l and hypoproteinemia at 52.9 g/l. The contrast enhanced computed tomography realed a giant fecal impactation with hydronephrosis and rupture of the fornix in connection with the giant fecal impaction. Evacuation of the fecalome and the placement of double –J ureteral stent led to a clinical and biologic improvement of the patient’s health. The Computed Tomography (CT) review at 6 weeks showed a disappearance of the leakage of contrast product and the absence of dilation of the pyelo-caliceal cavities with a double -J stent in place. This case illustrates a conservative management of rupture of pyelocaliceal cavities.},
 year = {2021}
}

Copy | Download

TY  - JOUR
T1  - Spontaneous Renal Forniceal Rupture Secondary to Fecal Impaction
AU  - Mzyiene Mohammed
AU  - Ziba Ouima Justin Dieudonné
AU  - Adnan Ettanji
AU  - Bekkaoui Oussami
AU  - Garcia Leal Carmina
AU  - Manescu Mihai Razvan
Y1  - 2021/03/09
PY  - 2021
N1  - https://doi.org/10.11648/j.wjmcr.20210201.15
DO  - 10.11648/j.wjmcr.20210201.15
T2  - World Journal of Medical Case Reports
JF  - World Journal of Medical Case Reports
JO  - World Journal of Medical Case Reports
SP  - 15
EP  - 18
PB  - Science Publishing Group
SN  - 2994-726X
UR  - https://doi.org/10.11648/j.wjmcr.20210201.15
AB  - Rupture of the pyelocaliceal cavities or rupture of the renal fornix (RFR) with retro-peritoneal extravasation of urine is a rare urological complication most frequently associated with acute obstruction of the urinary tract by a calculus. It is a potential urologic emergency and management of a fornix rupture is not standardized. The aim of this case report is to highlight fecal impactation as a rare cause of spontaneous renal fornical rupture in an elderly woman and to present our management. We present the case of a 84-year-old Ms, admitted in emergency room with an occlusive syndrome associated with acute urinary retention. An initial biological assessment was carried out objectifying: Hemoglobin 16.4 g/dl, a biological inflammatory syndrome with leukocytes at 17,500/mm predominantly neutrophils at 14,670/mm, Platelets at 1,29,000/mm, PCR at 115 mg/l, TP at 79%, Creatinine at 196umol/l, urea at 21.8 mmol/m, serum potassium at 3.81 mmol/l, slight hyper natremia at 148 mmol/l and hypoproteinemia at 52.9 g/l. The contrast enhanced computed tomography realed a giant fecal impactation with hydronephrosis and rupture of the fornix in connection with the giant fecal impaction. Evacuation of the fecalome and the placement of double –J ureteral stent led to a clinical and biologic improvement of the patient’s health. The Computed Tomography (CT) review at 6 weeks showed a disappearance of the leakage of contrast product and the absence of dilation of the pyelo-caliceal cavities with a double -J stent in place. This case illustrates a conservative management of rupture of pyelocaliceal cavities.
VL  - 2
IS  - 1
ER  -

Copy | Download