Presentation
Left abdominal pain a week after left ovariectomy.
Patient Data
CT of the abdomen and pelvis demonstrates huge cystic lesion of left posterior pararenal space which pushes left kidney and ureter anteriorly. On the excretory phase this lesion is filled by direct contrast extravasation from the ureter.
Contrast filling of cystic lesion during the study (red arrow) due to direct contrast extravasation from the ureter (green arrow).
Case Discussion
History of recent gynecological surgery and typical appearance of retroperitoneal cystic lesion with direct conrast extravasation from the ureter is consistent with diagnosis of iatrogenic urinoma.
One of rare complication of gynecological surgery is ureteric injury which leads to urine leakage, urinoma.
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