Calyceal Rupture and Perirenal Urinoma as a Presenting Sign of Recurrent Ovarian Cancer

Cormio, Gennaro; Cormio, Luigi; Gesu, Giuseppe Di; Loverro, Giuseppe; Selvaggi, Luigi

doi:10.1006/gyno.2001.6360

Cited by 17 publications

(3 citation statements)

References 7 publications

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“…The majority of reported cases involve ureteric calculi [1–4]. In addition, a small number of case reports have described other aetiologies, including malignant extrinsic ureteric compression [5–8], pregnancy [9,10], posterior urethral valves [11], pelvic‐ureteric junction (PUJ) obstruction [12], vascular extrinsic compression [13,14], iatrogenia [15,16] and i.v. fluid administration [17].…”

Section: Introductionmentioning

confidence: 99%

Causes of renal forniceal rupture

Gershman¹,

et al. 2011

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extrinsic ureteric compression in nine cases (8.3%), benign extrinsic ureteric compression in two cases (1.9%), pelvic-ureteric junction obstruction in two cases (1.9%), vesicoureteric junction (VUJ) obstruction in one case (0.9%), bladder outlet obstruction in one case (0.9%) and iatrogenic causes in four cases (3.7%).• No definitive cause was found in nine cases (8.3%). For patients in whom a ureteric stone was the cause of forniceal rupture, the level of obstruction was proximal ureter in 24.3% of cases, distal ureter in 17.6% of cases and VUJ in 58.1% of cases.• Mean ( SD ) stone size was 4.09 (2.0) mm. Mean ( SD ) stone size was 5.34 (1.87) mm for proximal stones, 4.08 (1.69) mm for distal stones and 3.53 (1.96) mm for VUJ stones ( P = 0.005).• Urinary tract infection was present in five out of 97 patients (5.2%) in whom data were available for analysis. CONCLUSION• The most common aetiology of renal forniceal rupture is obstruction caused by distal ureteric stones followed by malignant extrinsic ureteric compression.

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Section: Introductionmentioning

confidence: 99%

Causes of renal forniceal rupture

Gershman¹,

et al. 2011

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“…RCR with urinoma formation due to a pelvic malignancy has been rarely described [3,8,9]. Compression of the urinary collection system by masses can result in hydronephrosis, which can progress to RCR with urinoma formation.…”

Section: Discussionmentioning

confidence: 99%

“…Rare causes include pregnancy, posterior urethral valves, urinary retention and iatrogenic injury [1,2]. Malignancy is a rare cause of RCR and is only described in a few case reports of prostate cancer, testicular cancer and gynecologic malignancies [1,3]. In this case, we describe an unusual presentation of RCR secondary to locally advanced cervical cancer with extensive urinoma presenting as thigh pain and diagnosed on positron emission tomography computed tomography (PET CT) imaging.…”

Section: Introductionmentioning

confidence: 95%

Renal calyceal rupture with extensive urinoma formation as a complication of cervical cancer

2024

EJGO

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Renal calyceal rupture (RCR) is a rare phenomenon most commonly caused by increased renal pelvic pressure from ureteral obstruction. This can occur in the setting of acute obstruction such as with kidney stones and is not commonly seen as a consequence of malignancy due to the chronic nature of obstruction. In this case, we describe a patient with newly diagnosed cervical cancer presenting with thigh pain who was found to have a urinoma from RCR caused by malignant obstruction. We discuss the workup of a pelvic mass presenting as flank pain, as well as the role of history and physical exam when reviewing imaging. We also review the management of RCR in the setting of malignant obstruction. Lastly we highlight the alterations to cervical cancer treatment due to the presence of the infected urinoma.

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Spontaneous renal forniceal rupture due to advanced cervical carcinoma with obstructive uropathy

Joshi

Mehrotra

2008

Arch Gynecol Obstet

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To the best of our knowledge, this is the second case of spontaneous renal forniceal rupture secondary to ureteral obstruction caused by advanced cervical carcinoma to be reported in the published English literature. A high clinical index of suspicion is warranted in any patient of advanced cervical carcinoma that presents with sudden uremia or oliguria with flank pain and swelling in order to arrive at an early diagnosis. A decompressive nephrostomy may provide the much needed comfort and succor towards prolonging the life of such unfortunate patients.

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Calyceal Rupture and Perirenal Urinoma as a Presenting Sign of Recurrent Ovarian Cancer

Cited by 17 publications

References 7 publications

Causes of renal forniceal rupture

Causes of renal forniceal rupture

Renal calyceal rupture with extensive urinoma formation as a complication of cervical cancer

Spontaneous renal forniceal rupture due to advanced cervical carcinoma with obstructive uropathy

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