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Infected urinoma secondary to a ruptured renal calyx from a partial staghorn stone.

Christodoulidou M, Clarke L, Donald Napier-Hemy R - J Surg Case Rep (2015)

Bottom Line: A urinoma is a collection of urine outside the urinary tract as a result of disruption of the collecting system.We present the case of a 70-year-old female patient who was admitted to hospital with symptoms of right loin pain and sepsis.Misdiagnosis of infected urinomas delays definitive treatment and leads to increased morbidity.

View Article: PubMed Central - HTML - PubMed

Affiliation: Urology Department, Manchester Royal Infirmary, Manchester, UK ematmichelle@hotmail.com.

No MeSH data available.


Related in: MedlinePlus

A non-contrast CT coronal view, showing the right kidney with a retroperitoneal collection associated with the lower pole. The stone is anterior to this CT slice.
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RJV096F3: A non-contrast CT coronal view, showing the right kidney with a retroperitoneal collection associated with the lower pole. The stone is anterior to this CT slice.

Mentions: Despite intravenous antibiotics, after 72 h, the patient reported ongoing right loin pain and with persistently raised WCC at 16.6. A decision was made to proceed with a computerized tomography (CT) scan. This showed a bi-limbed right lower pole staghorn calculus measuring 29 × 16 mm associated with a 53 × 56 × 33 mm fluid collection within the right perinephric space. This was associated with inflammatory stranding abutting the lower pole in keeping with a urinoma secondary to a ruptured lower pole calyx, which was not dilated at the time of the scan (Figs 3 and 4).Figure 3:


Infected urinoma secondary to a ruptured renal calyx from a partial staghorn stone.

Christodoulidou M, Clarke L, Donald Napier-Hemy R - J Surg Case Rep (2015)

A non-contrast CT coronal view, showing the right kidney with a retroperitoneal collection associated with the lower pole. The stone is anterior to this CT slice.
© Copyright Policy - creative-commons
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4522050&req=5

RJV096F3: A non-contrast CT coronal view, showing the right kidney with a retroperitoneal collection associated with the lower pole. The stone is anterior to this CT slice.
Mentions: Despite intravenous antibiotics, after 72 h, the patient reported ongoing right loin pain and with persistently raised WCC at 16.6. A decision was made to proceed with a computerized tomography (CT) scan. This showed a bi-limbed right lower pole staghorn calculus measuring 29 × 16 mm associated with a 53 × 56 × 33 mm fluid collection within the right perinephric space. This was associated with inflammatory stranding abutting the lower pole in keeping with a urinoma secondary to a ruptured lower pole calyx, which was not dilated at the time of the scan (Figs 3 and 4).Figure 3:

Bottom Line: A urinoma is a collection of urine outside the urinary tract as a result of disruption of the collecting system.We present the case of a 70-year-old female patient who was admitted to hospital with symptoms of right loin pain and sepsis.Misdiagnosis of infected urinomas delays definitive treatment and leads to increased morbidity.

View Article: PubMed Central - HTML - PubMed

Affiliation: Urology Department, Manchester Royal Infirmary, Manchester, UK ematmichelle@hotmail.com.

No MeSH data available.


Related in: MedlinePlus