A rare urinoma case in the right thigh region after surgery

Abstract

We have presented a urinoma case that has been never reported before, which has presented with pain and swelling in the medial side of the right upper thigh, in a 55 years old female patient. Hydronephrosis in the right kidney and a liquid like mass in the right thigh were seen in the ultrasonographic imaging. A percutan catheter was placed for the treatment of the liquid collection and from the liquid sample and it was understood with analysis that the liquid was urine. Right after, percutan nephrostomy and latter, ureteroneocystostomy procedures were done. 

Keywords

• Urinoma
• Hydronephrosis

Cerrahi sonrası sağ uyluk bölgesinde ortaya çıkan nadir bir ürinoma vakası

Abstract

55 yaşında kadın hastada, jinekolojik cerrahi sonrası ortaya çıkan ve kendini sağ üst uyluk medialinde ağrı ve şişme ile gösteren, daha önce hiç bildirilmemiş bir ürinoma vakasını sunduk. Hastanın yapılan ultrasonik değerlendirmesinde, sağ böbrekte hidronefroz ve sağ uylukta sıvı vasıflı kitle izlendi. Uyluktaki sıvı birikiminin tedavisi için perkütan kateter yerleştirildi ve alınan sıvı örneklerinin incelenmesi sonucunda, sıvının idrar olduğu anlaşıldı. Daha sonra hastaya perkütan nefrostomi ve arkasından üreteroneosistostomi uygulandı. 

Keywords

• hidronefroz
• ürinoma
• ürinoma vakası

References

1. 1. Fujita K, Sugao H, Tsujikawa K. Perinephric urinoma se- condary to neurogenic bladder with vesicoureteral reflux: report of an adult case. Int J Urol 2004 ;11:53-5.
2. 2. Rivzi SAA, Ibne A, Siddiqui MA, Syed MDQ. A case report:Urinoma as initial presenting sign of bladder malig- nancy. Indıan Journal of Cancer 2011; 48: 516-517.
3. 3. Miller M, Korzets Z, Blumenfeld Y, et al. Fetal urinoma as a sign of a dysplastic kidney. Pediatr Nephrol 2003;18:65-7.
4. 4. Mahzouni P, Pejhan S, Ashrafi M. Yolk sac tumor of the va-gina. Saudi Med J 2007;28:1125-6.
5. 5. McInerney D, Jones A, Roylance J. Urinoma. Clin Radiol 1977;28:345-51.
6. 6. Jung RS, Agarwal K, Sood A, Bhattacharya A, Mittal BR. Hybrid SPECT/CT as a diagnostic modality in suspected urinoma with ambiguous planar Tc99m EC renal scintig- raphy. Indian J Nucl Med 2013;28:254-5. 4.
7. 7. Morano JU, Burkhalter JL. Percutaneous catheter drainage of post-traumatic urinoma.. J Urol 1985;134:319-21.
8. 8. Patel RM, Unni Moopan MM, Kim H. Subcapuslar urino- ma. Unusual form of ‘Page kidney’ in newborn. Urology 1984; 23: 585–7.

9. 9. Ketabchi AA, Ketabchi M, Barkam M. Percutaneous dra- inage of a late-onset giant posttraumatic urinoma. Urol J 2009;6: 214-6.
10. 10. Tsai CF, Liao CY, Lin CH, Shiao CC. Huge urinoma pre- senting as a bulging mass. Nephrology Carlton 2013;18:477.