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Published on: September 19, 2019
Bilateral Spontaneous Urinoma in a Cyanotic Child
Swarnim Swarnim1, Dinesh Kumar2, Dheeraj Bhatt2
1Division of Paediatric Cardiology, Department of Pediatrics, Post Graduate Institute of Medical Education and Research and Dr Ram Manohar Lohia Hospital, New Delhi, India. Correspondence to: Dr Swarnim, Room No. 409, Doctors hostel, Ram Manohar Lohia Hospital , New Delhi, India. itsswarnim@gmail.com.
Background:
Urinoma is an encapsulated collection of extravasated urine, secondary to trauma or obstructive uropathy. Spontaneous bilateral urinoma is rare.
Case Characteristics:
7-year-old boy with cyanotic heart disease and fever of unknown origin.
Obeservation:
The ultrasound abdomen and CT abdomen revealed bilateral spontaneous urinoma which was aspirated and was found to be infected. Following intravenous atibiotics the child became afebrile, with subsequent renal scans showing no recurrence.
Message:
Hypoxia and consequent polycythemia may be responsible for perinephric leaks leading to Non-traumatic spontaneous urinoma.
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