Perinephric Urinoma Secondary to Neurogenic Bladder in Myelodysplasia

Kennelly, Michael; Ritchey, Michael L.

doi:10.1097/00005392-199502000-00056

Cited by 10 publications

(6 citation statements)

References 15 publications

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“…Benign prostatic hypertrophy also causes urinoma 5 . We found only two previous reports in which urinoma was caused by neurogenic bladder in children 1,8 . In our review of the literature, we did not find any case of urinoma caused by neurogenic bladder with vesicoureteral reflux in an adult.…”

Section: Discussionmentioning

confidence: 54%

“…5 We found only two previous reports in which urinoma was caused by neurogenic bladder in children. 1,8 In our review of the literature, we did not find any case of urinoma caused by neurogenic bladder with vesicoureteral reflux in an adult. The major complications of neurogenic bladder are recurrent urinary tract infection, calculus and hydronephrosis secondary to ureteral reflux or obstruction.…”

Section: Discussionmentioning

confidence: 75%

“…Urinoma is defined as an encapsulated collection of extravasated urine in the perinephric space 1 . Urinoma occurs mainly following trauma to the urinary tract.…”

Section: Introductionmentioning

confidence: 99%

“…Urinoma is defined as an encapsulated collection of extravasated urine in the perinephric space. 1 Urinoma occurs mainly following trauma to the urinary tract. Obstructive uropathies, including posterior urethral valve, ureteral stones and tumors of the ureter or bladder, also cause urinoma.…”

Section: Introductionmentioning

confidence: 99%

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Perinephric urinoma secondary to neurogenic bladder with vesicoureteral reflux: Report of an adult case

2003

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We report a case of infectious perinephric urinoma in a 73-year-old woman who had a neurogenic bladder with vesico-ureteral reflux. The patient was admitted to our emergency room with right lumbago and high fever. Ultrasounds and computed tomography demonstrated a right large perinephric cystic mass, bilateral hydronephrosis and much residual urine. Percutaneous drainage of the cystic mass was performed with an indwelling urethral catheter. The content of the mass was urine infected with Escherichia coli. Antibiotic therapy was performed successfully and we then examined the cause of the urinoma. A urodynamic study demonstrated a low-compliance small bladder and detrusor-sphincter dyssynergia. A voiding cystourethrogram revealed right grade III vesicoureteral reflux. The patient was unable to be cleared with intermittent catheterization and had an indwelling urethral catheter inserted. In 1 year, the voiding cystourethrogram showed no vesicoureteral reflux and the patient was well with no evidence of recurrent urinoma without the urethral catheter. There have been only two reported cases of urinoma caused by neurogenic bladder with vesico-ureteral reflux in children and this is the first case reported in an adult.

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Section: Discussionmentioning

confidence: 54%

Section: Discussionmentioning

confidence: 75%

“…Urinoma is defined as an encapsulated collection of extravasated urine in the perinephric space 1 . Urinoma occurs mainly following trauma to the urinary tract.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Perinephric urinoma secondary to neurogenic bladder with vesicoureteral reflux: Report of an adult case

2003

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“…M.J. Kennelly и соавт. описали 17-месячного ребенка с миеломенингоцеле и нейрогенным мочевым пузырем, осложненными пузырно-мочеточниковым рефлюксом IV степени с последующим появлением уриномы [9]. В литературе нами было встречено 3 описания возникновения уриномы на фоне нейрогенного мочевого пузыря или диссинергии детрузора и сфинктера [10];…”

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Urinoma of newborns is an unresolved problem of pediatric urology.

Александровна¹,

Kuchinsky²,

Filatova³

et al. 2022

ECU

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Introduction. Urinoma is a rare pathology of childhood, which manifests itself in the accumulation of urine in the perirenal space. In most cases, the cause of urinoma is an obstruction of the urinary system at some level (from the ureteropelvic segment to the urethra). The mechanism of the development of urinoma is damage of the collecting system of the kidney is related to an increase in intrarenal pressure above 35-40 cm of water column, while urine can accumulate both retroperitoneally and intraperitoneally or even in the pleural cavity by extravasation or as a result of damage of the parietal peritoneum. Due to the rare occurrence of this pathology, unified approaches to the treatment of patients with urinoma have not been developed. Materials and methods. On the basis of St. Petersburg GBUZ DGM KSTSVMT in the period from 2007 to 2020, 7 newborn patients with this diagnosis were treated. Of all the patients, 5 were transferred from the maternity hospital to the neonatal pathology department due to the prenatally diagnosed pathology of the urinary system. However, only one child was suspected of urinoma against the background of hydronephrosis. Results and discussion. The cause of urinoma in 1 case (14%) was obstructive megaureter, in 3 patients (43%) – hydronephrosis, in 2 (29%) – posterior urethral valve. In 1 patient (14%), the cause of the urinoma was not identified. It should be noted that cystic dysplasia of one or both kidneys was detected in 3 children against the background of the underlying pathology. Clinical manifestations of urinoma ranged from the absence of any symptoms (in 1 case) to the presence of a palpable mass in the abdominal cavity and lumbar region, which caused concern to the child (in 3 patients). CT was performed in 4 patients in order to clarify the nature, location, and possible connection of the cystic formation visualized by ultrasound with the collecting system or the kidney parenchyma. The tactics of treating urinoma were different depending on the specific case. Open intervention was required in 6 children (86%). Findings. The rarity of such a pathology as urinoma leads to the lack of a single tactic for its diagnosis and treatment. Applied methods of visual determination of perirenal accumulation of urine, such as ultrasound and CT, can not always help to reliably differentiate urinoma from a kidney/abdominal cyst or severe hydronephrosis. In most cases, preference is given to puncture techniques and radical treatment of the underlying uropathy.

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