Obstructed kidney with perinephric urinoma

Case contributed by Dr Fakhry Mahmoud Ebouda

Presentation

Persistent agonizing right renal pain.

Patient Data

Age: 60 years
Gender: Male

Mild to moderate hydronephrosis is seen on right side. A small calculus measuring 5mm is seen in pelvis on right side which could represent a calculus in distal 3rd of right ureter.

Fluid is seen around right kidney, superiorly it is extending up to the sub diaphragmatic space and inferiorly it is extending up to the pelvis most likely represent urinoma formation. It is displacing the kidney anteriorly.

see below

Case Discussion

Right perinephric urinoma is seen owing to obstructing calculus.

Follow up CT study done on few days later shows improvement after DJ catheter insertion into the right ureter.  

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Case information

rID: 26889
Case created: 12th Jan 2014
Last edited: 11th Mar 2016
System: Urogenital
Inclusion in quiz mode: Included

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