The authors report one case of renal rupture occurring during an extracorporeal shock wave lithotripsy (ESWL). The patient presented with a bilateral urolithiasis and ESWL, was performed on a large stone (3 cm x 3.5 cm) located in the lower calyx of the right kidney. Ultrasound and CT Scan were used to diagnose the renal rupture and a partial nephrectomy was performed.

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