Renal rupture with perirenal hematoma after ureterorenoscopic holmium:YAG laser lithotripsy for a renal pelvic stone

We present a rare, but critical case of renal rupture after ureterorenoscopic holmium:YAG laser lithotripsy. This is the first case report of renal rupture after laser lithotripsy in managing an upper urinary tract stone. A 75-year-old male underwent retrograde ureterorenoscopic holmium:YAG laser lithotripsy for a left renal pelvic stone. A drop in blood pressure was noted postoperatively. Abdominal computed tomography confirmed a left subcapsular, perirenal hematoma and a stone which had dropped out to the left subcapsular space.