Traumatic rupture of the renal pelvis in a solitary kidney

Introduction: Traumatic rupture of the renal pelvis is a rare event facilit ated by urinary obstruction. Case Report: A case of traumatic rupture of the right renal pelvis in a sol itary kidney is presented. Previously, the patient had untergone urethral v alve resection, repeated ureterovesical implantations on the right and neph roureterectomy on the left due to nonfunctional hydronephrosis. The renal p elvis was easy to close, The obstruction of the solitary kidney was caused by a compensated, but progressing renal insufficiency with polyuria. The re sult was a functional obstruction at the ureterovesical junction when the b ladder was full. Conclusion: While closure of a ruptured renal pelvis may be easy, treatment of the unterlying disease may prove difficult as in this case. If a ureter al stone or stenosis at the ureteropelvic junction causes the obstruction, treatment is more feasible.