Abstract
Ürinom kronik olarak ekstravaze olan idrarın kapsüllü koleksiyonu olarak adlandırılır. Üre-terin taş, cerrahi ligasyon, neoplazmlara bağlı obstrüksiyonu, veya posterior üretral valf gibi mesane çıkış obstrüksiyonu ürinomların en yaygın etiyolojik nedenlerindendir. Renal kolik esnasında spontan ürinom oluşumu nadirdir. Burada, renal kolik esnasında oluşan spontan ürinomlu bir olgu sunulmaktadır. Ayrıca, değişik etiyolojilere bağlı ürinomların tedavi stratejileri günümüz literatür bilgileri eşliğinde tartışılmaktadır.
Spontaneous Urinoma: Combined Treatment with Percutaneous and Endoüreteral Catheterization
A urinoma is defined as encapsulated collection of chronically extravasated urine. Obstruction of the ureter by calculus, surgical ligature, neoplazms, or obstruction at the bladder outlet, such as by posterior urethral valves, is the most common cause of the urinomas . Spontaneous urinoma during renal colic is rare. Here, we present a case with spontaneous urinoma occured during an attack of renal colic. In addition, treatment s t r a t e g i e s of urinomas caused by different etiologies are discussed with the scope of the current literature.
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References
- Nouira Y, Ben Younes A, Rekik H, et al. Spontaneous perirenal urinoma during nephritic colic. Ann Urol 2000; 34: 156–157.
- Leuthardt R, Bernhardt E, Gasser T, et al. Spontaneous perforation of the ureter: a rare complication of urolithiasis. Eur J Pediatr Surg 1994; 4: 205–206.
- Kazoulis S, Tzanakis I, Christoulakis I, et al. Spontaneous renal rupture due to ureteric calculi in a paraplegic male. Nephron 2002; 91: 766–767.
- Puri A, Bajpai M, Gupta AK. Bilateral spontaneous perinephric urinomas: case report and review of the literature. Urology 2004; 64: 590–591.
- Baron RL, Stark DD, McClennan BL, et al. Intrathoracic extension of retroperitoneal urine c o l l e c t i o n s . AJR Am J Roentgenol 1981; 137: 37–41. 6. Belis JA, Milam DF. Pleural effusion secondary to ureteral obstruction. Urology 1979; 14: 27–29.
- Gayer G, Zissin R, Apter S, et al. Urinomas caused by ureteral injuries: CT appearance. Abdom Imaging 2002; 27: 88–92.
- Kotkin L, Brock JW 3rd. Isolated ureteral injury caused by blunt trauma. Urology 1996; 47: 111–113. 9. Titton RL, Gervais DA, Hahn PF, et al. Urine leaks and urinomas: diagnosis and imaging-guided intervention. Radiographics 2003; 23: 1133–1147.
- Lang EK, Glorioso L. Management of urinoma by per- cutaneous drainage procedures. Radiol Clin North Am 1986; 24: 551–559.
- Morano JU, Burkhalter JL. Percutaneous catheter drainage of post-traumatic urinoma. J Urol 1985; 319–321.
- Tulchinsky M, Malpani AR, Eggli DF. Diagnosis of uri- noma by MAG3 scintigraphy in a renal transplant patient. Clin Nucl Med 1995; 20: 80–81.
Abstract
References
- Nouira Y, Ben Younes A, Rekik H, et al. Spontaneous perirenal urinoma during nephritic colic. Ann Urol 2000; 34: 156–157.
- Leuthardt R, Bernhardt E, Gasser T, et al. Spontaneous perforation of the ureter: a rare complication of urolithiasis. Eur J Pediatr Surg 1994; 4: 205–206.
- Kazoulis S, Tzanakis I, Christoulakis I, et al. Spontaneous renal rupture due to ureteric calculi in a paraplegic male. Nephron 2002; 91: 766–767.
- Puri A, Bajpai M, Gupta AK. Bilateral spontaneous perinephric urinomas: case report and review of the literature. Urology 2004; 64: 590–591.
- Baron RL, Stark DD, McClennan BL, et al. Intrathoracic extension of retroperitoneal urine c o l l e c t i o n s . AJR Am J Roentgenol 1981; 137: 37–41. 6. Belis JA, Milam DF. Pleural effusion secondary to ureteral obstruction. Urology 1979; 14: 27–29.
- Gayer G, Zissin R, Apter S, et al. Urinomas caused by ureteral injuries: CT appearance. Abdom Imaging 2002; 27: 88–92.
- Kotkin L, Brock JW 3rd. Isolated ureteral injury caused by blunt trauma. Urology 1996; 47: 111–113. 9. Titton RL, Gervais DA, Hahn PF, et al. Urine leaks and urinomas: diagnosis and imaging-guided intervention. Radiographics 2003; 23: 1133–1147.
- Lang EK, Glorioso L. Management of urinoma by per- cutaneous drainage procedures. Radiol Clin North Am 1986; 24: 551–559.
- Morano JU, Burkhalter JL. Percutaneous catheter drainage of post-traumatic urinoma. J Urol 1985; 319–321.
- Tulchinsky M, Malpani AR, Eggli DF. Diagnosis of uri- noma by MAG3 scintigraphy in a renal transplant patient. Clin Nucl Med 1995; 20: 80–81.
Details
| Primary Language | English |
|---|---|
| Journal Section | Basic Medical Sciences |
| Authors | |
| Publication Date | December 31, 2009 |
| Submission Date | October 26, 2009 |
| Published in Issue | Year 2005 Volume: 22 Issue: 4 |
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