Fornix Rupture in Duplex Kidney due to Internal Iliac Artery
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Fornix rupture (FR) is a unique presentation and this condition may be spontaneous or caused by a sudden increase in intrapelvic pressure which was due to acute ureteral obstruction . The urine in the renal pelvis will extravasate via the ruptured renal fornix to the perirenal space. The most common cause of acute ureteral obstruction is ureteral calculi and most can be effectively managed by endoscopic treatment . We report a very rare cause of FR and the course of treatment.A 70-year-old man presented with severe pain on the right side of the abdomen for 7 days. An abdominal CT angiographic scan showed an impending rupture of a large right internal iliac artery aneurysm which compressed to a right ureter causing hydroureteronephrosis........

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4771882/
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