Urinoma seconday to calyceal rupture: chronic ureteric obstruction

Case contributed by Dr Chris O'Donnell

Presentation

Acute on chronic renal failure with sepsis in blood and urine

Patient Data

Age: 80
Gender: Male

Obstructed (hydronephrotic) upper left ureter due to a large calculus. Large fluid collection in the left side of pelvis in the region of the ilio-psoas muscle with a tubular connection to a lower pole calyx of the left kidney. Note this fluid collection is of the same density as the obstructed collecting system and not surrounded by inflammatory change in the adjacent fat.

Case Discussion

Acute calyceal rupture due to ureteric obstruction is uncommon but well recognised. It is usually very painful thus presents early. In this case there is chronic ureteric obstruction with development of a urinoma communicating via a lower pole calyx. This collection will only resolve once the ureteric obstruction is relieved.

PlayAdd to Share

Case Information

rID: 49889
Case created: 8th Dec 2016
Last edited: 12th Dec 2016
System: Urogenital
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.