Abstract
Spontaneous renal pelvis rupture with extrusion of calculus is an extremely rare event. This article reports a case of right pelvis rupture with perinephric abscess due to renal calculus, with discussion on the diagnostic approach used, and its management principle. The diagnosis was confirmed with intravenous urography using computed tomography. She underwent right ureteral splinting using double-J stent, ultrasound guided pigtail drain insertion initially followed by stone extraction later.