Urinoma

Case contributed by Maulik S Patel
Diagnosis almost certain

Presentation

Right-sided abdominal pain 3-4 days.

Patient Data

Age: 60 years
Gender: Male
ultrasound

Right sided gross hydronephrosis and hydroureter is noted without calculus. Right renal pelvis AP diameter - 37 mm Lobulated anechoic well-defined area is noted posterior to right kidney and around right proximal ureter.

Left sided gross hydronephrosis and hydroureter is noted without calculus. Left renal pelvis measures 85 x 69 x 63 mm.

Prostate is enlarged measuring 48 x 37 x 35 mm - 33 cc volume.

Urinary bladder is distended. No calculus is seen. Multiple pseudodiverticula are noted in bladder wall. Prevoid volume - 345 cc. Post void volume - 330 cc.

Case Discussion

Surgically proven case of right urinoma.

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