Spontaneous urinoma due to retroperitoneal fibrosis and aortic aneurysm.

Allison, M. E. M.; McLean, L; Robinson, L Q; Torrance, C J

doi:10.1136/bmj.291.6489.176

Cited by 7 publications

(2 citation statements)

References 4 publications

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“…Statistics showed that a vast majority of ruptures were caused by ureteric calculi [ 4 ]. Other less common causes may include malignant or benign tumors, pregnancy, posterior urethral valves, ureteropelvic junction obstruction, vascular extrinsic compression [ 4 ], and retroperitoneal fibrosis [ 7 ]. The retrograde manipulation of the ureter was also described as a cause of the urine collecting system rupture [ 4 ].…”

Section: Discussionmentioning

confidence: 99%

Idiopathic Spontaneous Rupture of Renal Pelvis in a Single Functioning Kidney

Tylski¹,

Muras-Szwedziak²,

Nowicki³

2021

Case Rep Nephrol Dial

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Spontaneous rupture of renal pelvis (SRRP) is a rare condition resulting in an extravasation of urine into retroperitoneal space. Due to the uncharacteristic symptoms, often mimicking renal colic, its diagnosis may be complicated. Herein, we report a case of a 73-year-old male with a solitary functioning kidney who presented with malaise and right-sided abdominal pain, rapidly followed by anuria. Laboratory tests showed the signs of AKI. Contrast-enhanced CT performed soon after the admission showed nonspecific abnormalities in the right middle abdomen suspected to be either inflammatory infiltration or surgical scarring. Symptomatic treatment was started, and an acute hemodialysis treatment was commenced. After a temporal improvement, the patient’s general condition worsened significantly, with exacerbated pain and massive increase in plasma creatinine. A second contrast-enhanced CT was performed with an addition of urography phase, revealing the extravasation of the contrast media in the location suggesting the rupture of the renal pelvis. The patient was treated successfully by the placement of a double-J ureteral stent into the ureter. Usually, a clear etiology of SRRP can be determined, that is, urinary tract obstruction, but in this case, we could not find a definite cause. It is important to remember that in the presence of a nonspecific abdominal pain and laboratory signs of AKI, a rare cause like SRRP should be taken into consideration. Performing a contrast CT scan with urography phase can save time in establishing a diagnosis and enable immediate urological intervention.

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Section: Discussionmentioning

confidence: 99%

Idiopathic Spontaneous Rupture of Renal Pelvis in a Single Functioning Kidney

Tylski¹,

Muras-Szwedziak²,

Nowicki³

2021

Case Rep Nephrol Dial

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“…2 Other causes include pelvic cancer, retroperitoneal fibrosis, fluid overload, urinary retention and pregnancy. 3–9 We report the case of a desmoid tumour presenting as spontaneous ureteric rupture which was managed in our institution. To our knowledge this is the first reported case of ureteric perforation secondary to a desmoid tumour of the mesentery.…”

Section: Introductionmentioning

confidence: 99%

Spontaneous ureteric rupture secondary to an invasive desmoid tumour

Yoon

Ahmadi

Strahan

et al. 2014

International Journal of Surgery Case Reports

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INTRODUCTIONSpontaneous ureteric rupture is a rare entity that presents as an extravasation of urine from the ureter without previous surgery, ureteric manipulation and external trauma of the ureter. We report the case of a desmoid tumour presenting as spontaneous ureteric rupture which was managed in our institution.PRESENTATION OF CASEA 28 years old healthy male presented with a four day history of generalised abdominal pain secondary to spontaneous right ureteric rupture. Patient was initially managed via insertion of nephrostomy tube and antibiotics. After unsuccessful attempts of retrograde and antegrade ureteric stent insertion, patient was subsequently managed via elective surgical intervention. The excised specimen revealed desmoid tumour as cause of the ureteric rupture.DISCUSSIONDesmoid tumours are rare benign tumours arising from fascial or musculoaponeurotic structures that do not metastasise, but tend to invade locally. It is often initially managed medically prior to undertaking a definitive surgical intervention. To our knowledge this is the first reported case of ureteric perforation secondary to a desmoid tumour of the mesentery.CONCLUSIONSpontaneous rupture of the ureter is often misdiagnosed as other conditions. History taking and examination can be unreliable, hence a high level of suspicion and further investigations should be utilised. Once the diagnosis is made, treatment can be individualised based on aetiology.

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Spontaneous urinary extravasation: detection rate with 64-row multidetector computed tomography in patients presenting with acute abdomen

et al. 2013

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The aim of this study was to detect the rate of spontaneous urinary extravasation (SUE) with computed tomography (CT) in patients presenting with acute abdomen. Seven hundred thirteen abdominal CT examinations with i.v. contrast media requested mainly from the emergency department and urology clinics for sudden onset abdominal pain, flank pain, nonspecific abdominal pain with nausea and vomiting, and renal colic between September 2007 and August 2011 were retrospectively reviewed. Only adult patients were included in the study. Three patients with SUE were detected. One had a mid-ureteral stone while the etiology for the other two patients was unknown. Two of the patients were treated conservatively; one was treated with stenting with a double-j catheter. SUE should be considered in the differential diagnosis of patients presenting with acute abdomen and perinephric-periureteral fluid collection inconsistent with stone size and who are occasionally stone free. Early and precise diagnosis of SUE plays an important role in the management protocol of patients presenting with acute abdomen.

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Spontaneous urinoma due to retroperitoneal fibrosis and aortic aneurysm.

Cited by 7 publications

References 4 publications

Idiopathic Spontaneous Rupture of Renal Pelvis in a Single Functioning Kidney

Idiopathic Spontaneous Rupture of Renal Pelvis in a Single Functioning Kidney

Spontaneous ureteric rupture secondary to an invasive desmoid tumour

Spontaneous urinary extravasation: detection rate with 64-row multidetector computed tomography in patients presenting with acute abdomen

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