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Late‐onset ureteric urinoma with intermittent jet flow as a complication of ureterolithotomy
Author(s) -
Unal Birsen,
Basar Halil,
Karadeniz Bilgili Miyace Y.,
Basar Murat,
Batislam Ertan,
Erdal Haydar Hüseyin,
Kara Simay
Publication year - 2004
Publication title -
journal of clinical ultrasound
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.272
H-Index - 61
eISSN - 1097-0096
pISSN - 0091-2751
DOI - 10.1002/jcu.20029
Subject(s) - urinoma , medicine , ureter , percutaneous , complication , percutaneous nephrolithotomy , lithotripsy , extracorporeal shock wave lithotripsy , surgery , radiology , urology , kidney
We present the case of a late‐onset urinoma in a 47‐year‐old man with a history of right ureterolithotomy performed 6 months previously, following 2 unsuccessful attempts at extracorporeal shock wave lithotripsy. The ipsilateral kidney was nonfunctional and hydronephrotic. The urinoma did not show enhancement on contrast‐enhanced CT and intravenous pyelography. Sonography revealed turbulence in the urinoma and jet flow from the ureter. Lab studies of fluid obtained by percutaneous puncture and aspiration yielded misleading findings for urine and revealed the presence of hemosiderin‐laden macrophages. The urinoma was surgically resected and ureteroneocystostomy was performed. © 2004 Wiley Periodicals, Inc. J Clin Ultrasound 32:264–266, 2004; Published online in Wiley InterScience (www.interscience.wiley.com). DOI: 10.1002/jcu.20029