Spontaneous rupture of the kidney occurs rarely but has been associated with calculous disease, trauma and tumor. The literature on spontaneous rupture of the renal pelvis was reviewed by Abeshouse in 1935 and again by Shaw in 1957. However, there has been a tendency for a rather wide variety of conditions to be included under this diagnosis. These have ranged from a simple pyelosinus reflux, on the one hand, to calculous perforation of the kidney and perinephric abscess on the other. In most instances, it is an acute abdominal process which requires early diagnosis and immediate surgical exploration. Authors experienced one case of spontaneous rupture of the kidney secondary to renal pelvis stone in 20 year old female, and report this case with the review of literature.