Open AccessSpontaneous rupture of the renal pelvis presenting as an urinoma in locally advanced rectal cancer
Author(s) -
Pankaj Kumar Garg,
Debajyoti Mohanty,
Vinita Rathi,
Bhupendra Kumar Jain
Publication year - 2014
Publication title -
world journal of clinical cases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.368
H-Index - 10
ISSN - 2307-8960
DOI - 10.12998/wjcc.v2.i4.108
Subject(s) - urinoma , medicine , hydronephrosis , percutaneous nephrostomy , abdomen , radiology , renal pelvis , surgery , nephrostomy , pelvis , percutaneous , urinary system , ureter , endocrinology
A 29-year-old gentleman underwent a transverse colostomy for intestinal obstruction caused by advanced rectal carcinoma. On the 5(th) postoperative day, the patient developed a painful swelling on the right side of the abdomen. The contrast enhanced computed tomography of the abdomen revealed a right sided hydronephrosis, a large rent in the renal pelvis, and a large retroperitoneal fluid collection on the right side. Percutaneous nephrostomy and pigtail catheter drainage of the urinoma led to resolution of abdominal swelling. Development of a urinoma as a consequence of rectal carcinoma is highly unusual. Prompt imaging for confirmation of diagnosis, decompression of the renal pelvicalyceal system, and drainage of the urinoma limits morbidity.