Urinoma

Case contributed by Dr Nikos Karapasias

Presentation

Female patient with flank pain and tenderness after extracorporeal shock wave lithotripsy (left uretero-pelvic junction obstruction by renal calculi).

Patient Data

Age: 38
Gender: Female
Modality: Fluoroscopy

Delayed contrast excretion into the left urinary tract at 7 minutes, which persists 8 minutes post contrast (note the left kidneys nephrogram: is double sized compare to the right). The late series (after 35 minutes) shows a collecting system dilatation and a contrast extravasating into area outside of the renal pelvis.

Case Discussion

Typical findings for urinoma (due calyceal rupture after extracorporeal shock wave lithotripsy).
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Case Information

rID: 25408
Case created: 24th Oct 2013
Last edited: 5th Oct 2015
System: Urogenital
Tag: urinoma
Inclusion in quiz mode: Included

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