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February 1965

Spontaneous Rupture Of the Kidney

Author Affiliations


From the Department of Medicine, The New York Hospital-Cornell Medical Center, and The Second (Cornell) Medical Division, Bellevue Hospital.

Arch Intern Med. 1965;115(2):176-183. doi:10.1001/archinte.1965.03860140056012

SPONTANEOUS or nontraumatic rupture of the kidney is rare. Kuster 1 in 1896 found ten cases in a review of 30,000 autopsies. Before 1935 approximately 15 case reports and six reviews had appeared in the literature in English.2-7 Since 1935 11 additional reviews with illustrative case reports have appeared in the literature. However these reports were limited to specific etiologies,8-13 specific site of rupture,14 specific mode of rupture,15 or emphasized the paucity of case material.16-18

This report presents an illustrative case and summarizes the experience at Bellevue Hospital together with a comprehensive review of the English literature describing spontaneous rupture of the kidney exclusive of the vascular pedicle.

Report of Cases 

Case 1.  —Second (Cornell) Medical Division, Bellevue Hospital, 33481-57; a 24-year-old Pureto Rican man first entered Bellevue Hospital in July, 1957, complaining of intermittent abdominal pain of two days' duration. He was normotensive with