Spontaneous renal pelvis perforation in an adolescent with a solitary kidney
Turkish Journal of Pediatrics, cilt.68, sa.4, ss.710-714, 2026 (SCI-Expanded, Scopus, TRDizin)
- Yayın Türü: Makale / Tam Makale
- Cilt numarası: 68 Sayı: 4
- Basım Tarihi: 2026
- Doi Numarası: 10.24953/turkjpediatr.2026.7209
- Dergi Adı: Turkish Journal of Pediatrics
- Derginin Tarandığı İndeksler: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, Directory of Open Access Journals, TR DİZİN (ULAKBİM), Biomedical Reference Collection: Corporate Edition (EBSCO), Health Research Premium Collection (ProQuest)
- Sayfa Sayıları: ss.710-714
- Anahtar Kelimeler: acute kidney injury, children, solitary kidney, spontaneous renal pelvis perforation, urinary extravasation
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Ankara Üniversitesi Adresli: Evet
Özet
Background. Spontaneous renal pelvis perforation is a rare but serious condition, often associated with urinary obstruction, infection, or increased intrapelvic pressure. Here, we present a pediatric patient with a solitary kidney who developed this rare condition. Case presentation. We report the case of a 14-year-old girl with a solitary kidney who presented with abdominal pain, vomiting, and anuria. Laboratory findings revealed acute kidney injury, requiring emergent hemodialysis. Imaging studies demonstrated a spontaneous perforation in the anteromedial renal pelvis. The patient was initially managed with antibiotics and a double-J (DJ) ureteral stent. However, persistent fever and worsening retroperitoneal fluid collection necessitated percutaneous abscess drainage. Despite initial clinical improvement, she later developed recurrent urine leakage due to DJ stent occlusion, which required percutaneous nephrostomy placement. At the three-month follow-up, spontaneous resolution of the perforation was confirmed, and the patient was diagnosed with stage 4 chronic kidney disease. Conclusions. Spontaneous renal pelvis perforation remains a rare entity in the pediatric population, with limited cases documented in the literature. This case emphasizes the importance of early recognition, timely imaging, and appropriate urinary drainage to prevent long-term renal impairment. In pediatric patients with a solitary kidney, close monitoring and a multidisciplinary approach are crucial to optimizing outcomes.