RARE COMPLICATION OF RENAL STONES - PERI TONITIS AND SPLENIC ABSCESS DUE TO RUPTURED PYONEPHROSIS

Peritonitis can result from many causes. We report a case caused by a renal abscess which contaminated the abdominal cavity. A 30-year-old p atient was refered with suspected ruptured ectopic pregnancy with sign s of peritoneal flooding. The culdocentesis sis was positive and retur ned frank pus. Endoscopic exploration with an open laparoscope reveale d that the infection did not originate from a gynecological infection but did not identify the exact origin. Laparotomy was performed and re vealed a splenic abscess and a subphrenic peritoneal breach releasing a purulent liquid. Sple nectomy and abdominal lavage with draining was performed. A post-operative pyelourogram showed a silent kidney with multiple coralliform lithiases. Interventional sonography allowed drai nage of a retroperitoneal collection. The post-operative period vas un eventful. Left nephrectomy was later performed. Only rare cases of rup tured pyonephrosis leading to peritonitis have been reported, usually with poor prognosis.