Spontaneous rupture of the renal pelvis presenting as an urinoma in locally advanced rectal cancer

Garg, Pankaj Kumar; Mohanty, Debajyoti; Rathi, Vinita; Jain, Bhupendra Kumar

doi:10.12998/wjcc.v2.i4.108

Cited by 10 publications

(14 citation statements)

References 7 publications

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“…The most common cause was also an ureteral stone, while sigmoid and ureteral cancer was the cause in the remaining two patients. Rectal cancer was the cause of spontaneous urinoma in the case report published by Garg [3]. Other pelvic malignancies, like cervical and ovarian cancer were also found as causes of urinoma [2, 3,14].…”

Section: Discussionmentioning

confidence: 99%

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Spontaneous urinoma diagnosed before radical cystectomy: A case report

et al. 2018

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Introduction. Rupture of the urinary collecting system, associated with perirenal or retroperitoneal extravasation of the urine, is a rare condition usually associated with the obstruction of the urinary system. A urinoma is a localized collection of urine in the retroperitoneum, outside the urinary tract, and occurs after injury to the wall of the urinary system. Ureteral obstruction caused by a bladder tumor is a rare cause of urinoma. Case Report. We report a case of a 62-year-old patient who was admitted to the Clinic of Urology of the Clinical Center of Serbia, due to an invasive bladder cancer. A computerized tomography scan of the abdomen and pelvis revealed a massive bladder tumor dominant on the left side, invading the vagina, uterus and significantly obstructing both kidneys. Intraoperatively, a mass of 18 cm in diameter was identified in the right retroperitoneal space and it was dissected from the peritoneum. Two liters of clear fluid were aspirated from the mass, and the walls of urinoma were resected. The site of perforation was not identified. The patient underwent anterior pelvic exenteration. The pathohistological analysis revealed a high grade transitional cell carcinoma of the bladder. The treatment is individual and involves surgical and interventional radiology treatment. Conclusion. A spontaneous retroperitoneal urinoma is a very rare condition. In this case report it appeared most likely due to right ureteral obstruction and perforation. The growth of urinoma was slow, due to the absence of acute symptoms and the thickness of the urinoma wall.

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Section: Discussionmentioning

confidence: 99%

“…Rectal cancer was the cause of spontaneous urinoma in the case report published by Garg [3]. Other pelvic malignancies, like cervical and ovarian cancer were also found as causes of urinoma [2, 3,14]. Very rare causes of spontaneous urinoma include B-cell lymphoma of the omentum [16], neurogenic bladder [5] and dermatomyositis [17].…”

Section: Discussionmentioning

confidence: 99%

Spontaneous urinoma diagnosed before radical cystectomy: A case report

et al. 2018

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“…Sa principale cause est l'obstacle urétéral sur lithiase [1]. D'autres causes d'urinome sont rapportées dans la littérature : obstruction sur néoplasie rectale [2], traumatique sur choc abdominal [3], manipulation iatrogène lors d'une endoscopie urétérale [4], et sur syndrome de la jonction pyélo-urétérale, avec un diagnostic prénatal possible pour cette dernière cause [5]. L'originalité de notre observation est la cause de l'obstruction secondaire à l'important globe vésical surfécalome.…”

Section: Les Commentairesunclassified

Une infiltration péri-rénale gauche

Masson

Scemama

Lignères

et al. 2018

La Revue de Médecine Interne

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“…It is the commonest cause of urine extravasation, while other causes include obstruction from malignancies, trauma, iatrogenic manipulation, pregnancy, pelvoureteral junction (PUJ) obstruction. [1][2][3][4][5] We present a case of this unexpected condition, while diagnosis, therapeutic approach and follow-up are discussed.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous rupture of renal pelvis as a rare complication of ureteral lithiasis

Porfyris¹,

Apostolidi²,

Mpampali³

et al. 2016

Turkish Journal of Urology

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Spontaneous rupture of renal pelvis with urine extravasation is a rare condition and usually associated with obstructing ureteric calculus. It poses diagnostic and therapeutic dilemmas, while a stepwise approach for the confirmation of diagnosis, treatment and follow up is needed. We present a case of a 75-year old male patient who had a renal pelvis rupture with perirenal extravasation of urine due to a 4 mm stone located at the right ureterovesical junction. Diagnosis was confirmed by computed tomography, while the patient was treated successfully with the placement of a percutaneous nephrostomy. A week later a CT-nephrostomography showed the healing of renal pelvis with no extravasation and no evidence of the obstructing stone.

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Spontaneous rupture of the renal pelvis presenting as an urinoma in locally advanced rectal cancer

Cited by 10 publications

References 7 publications

Spontaneous urinoma diagnosed before radical cystectomy: A case report

Spontaneous urinoma diagnosed before radical cystectomy: A case report

Une infiltration péri-rénale gauche

Spontaneous rupture of renal pelvis as a rare complication of ureteral lithiasis

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