J Korean Continence Soc.  2008 Dec;12(2):185-188.

Spontaneous Perinephric Urinoma in a Patient with Neurogenic Bladder

• Chung YG
• Kim YB
• Park JT
• Park SH
• Kim YS
• Choi JB

Abstract

Spontaneous rupture of the renal pelvis or ureteropelvic juction area with extravasation of urine into the perinephric space is an uncommon pathologic condition (1). We report a case of 72-year-old woman who suffered 2 days of left loin pain. The patient has got residual urine sensation and weak urine stream since she has gone through a radical hysterectomy 17 years before. Because of these symptoms of voiding difficulty, the patient had abdominal straining during her urination. A CT scan exhibited renal pelvis rupture with perirenal extravasation of urine due to severe hydronephrosis, that was exacerbated by hidden neurogenic bladder disease. Moreover, the patient has detrusor underactivity and high intravesical pressure at voiding trial in the urodynamic study. One month after the percutaneous nephrostomy insertion into the left renal pelvis, the patient was successfully treated. The size of renal pelvis decreased. Moreover, urinoma disappeared in follow up CT scan image.

Keyword

Renal pelvis; Rupture; Neurogenic bladder; Hydronephrosis

MeSH Terms

Aged
Female
Follow-Up Studies
Humans
Hydronephrosis
Hysterectomy
Kidney Pelvis
Nephrostomy, Percutaneous
Rivers
Rupture
Rupture, Spontaneous
Sensation
Tomography, X-Ray Computed
Urinary Bladder, Neurogenic*
Urination
Urinoma*
Urodynamics