Spontaneous rupture of the renal pelvis presenting as an urinoma in locally advanced rectal cancer  

作　　者：Pankaj Kumar Garg Debajyoti Mohanty Vinita Rathi Bhupendra Kumar Jain 

机构地区：[1]Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital [2]Department of Surgical Oncology, All India Institute of Medical Sciences [3]Department of Radiology, University College of Medical Sciences and Guru Teg Bahadur Hospital

出　　处：《World Journal of Clinical Cases》2014年第4期108-110,共3页世界临床病例杂志

摘　　要：A 29-year-old gentleman underwent a transverse colostomy for intestinal obstruction caused by advanced rectal carcinoma. On the 5th 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.A 29-year-old gentleman underwent a transverse colostomy for intestinal obstruction caused by advanced rectal carcinoma. On the 5th 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.

关 键 词：Colorectal cancer URINOMA Spontaneous rupture of the renal PELVIS Percutaneous NEPHROSTOMY PIGTAIL CATHETER drainage 

分 类 号：R735.37[医药卫生—肿瘤]