Extravasation of urine following forniceal rupture of a pelviureteric junction is a rare complication; the existence of pyonephrosis can result to retroperitoneal abscess but its fistulization into peritoneal cavity is exceptional. We report a case of a 22-year-old men who presented a clinical aspects of peritonitis, abdominal CT scan findings suggested retroperitoneal peritonitis by rupture of the fornix. This case emphasizes an unusual presentation of pyonephrosis with peritonitis and pyoperitoneum caused by a ureteropelvic junction syndrome.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC9508410PMC
http://dx.doi.org/10.1016/j.eucr.2022.102231DOI Listing

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