calyx rupture

[Hamhock]

I am visitor from another forum/specialty (EM).
I am supposed to make a few comments in four hours or so about renal calyx rupture in the settting of nephrolithiasis and I am finding very little out there. I have been trying to look through Uro books, and coming up with very little.

1. Can you direct me to a source with more info?
2. What's the therapy? Prophylactic antibiotics? When follow-up? When can patients not be sent out from the ED (other than infection and rupture)?
3. Any other help?

Thanks, HH

---

Members don't see this ad.

 

[gudog]

Sorry, can't cite any sources.

Would assume any publications on this subject would be far in the past.
Nothing in the current textbooks that I could find.
Try searching forniceal rupture, that is what most urologists call this condition.

Back in the day of IVP for ureteral stones, we saw these commonly.
Actually, patients who rupture a fornix usually feel better and have less acute pain, supposedly due to the pop off valve effect of the rupture.

I do remember discussions about whether all these patients needed antibiotics. Don't remember the consensus.

I would recommend treating these patients just like any other with a ureteral stone. The presence of a forniceal rupture would not affect my management.