After 3 months (March 2012), she returned to our observation for flank pain and a computed tomography (CT) study revealed a urinoma
of 11 x 9 cm with communication with the upper pole of the right kidney (Fig 2, part A).
2%) a tamponade of the bladder, which required the removal of the blood clots from the bladder using a urethral catheter; 8 cases of acute pyelonephritis; in 7 of these patients, regression occurred Only after achieving an adequate drainage of the PCS of the kidney by replacing the nephrostomic drainage, and the other patient underwent FNAB of the kidney: 19 cases involving the replacement of a nephrostomic drainage due to die inadequacy of a drainage of PCS of a kidney (n=10), a partial fall of the drainage (n=4) and urine blotting from a fistula by a drainage and the development of a urinoma
(n=5): 5 cases involving the placement of a stent due to damage of the permeability of the ureter.
13) The differential diagnosis includes hematoma, seroma, abscess, urinoma
, or lymphocele.
5 x 11-cm multi-loculated urinoma
surrounding the right kidney with significant right hydroure-teronephrosis down to the distal ureter, where a soft tissue mass was noted in the pelvis (Fig.
In the postnatal period, none of the 4 kidneys that were ipsilateral to the urinoma
were functional on scintigraphic evaluation.
Urine leakage typically remains encapsulated in the perirenal space and may lead to urinoma
1), (2)Tumor, lymphocele, and urinoma
are other known causes.
No NTs were dislodged and no one developed a perirenal urinoma
4) Perinephric abscesses are uncommon, but can occur in the early postoperative period due to pyelonephritis or bacterial seeding of a urinoma
, hematoma or lymphocele.
4) reported a postoperative complication rate of 17% (3/17) for laparoscopic pyelolithotomy in their study, which included a prolonged ileus in 2 patients and a urinoma
in 1 patient.
18) Additional applications include evaluation of adrenal and renal masses, renal cystic disease, urinoma
and gender morphology (Figures 10 and 20).
Postoperative low grade fever occurred in 9 patients in Group 1 and 2 in Group 2; mucosal tearing, ureteral perforation, urinoma
and urosepsis were not seen in both groups.