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Forniceal Rupture in Neonate Masquerading as a Cystic Renal Mass
Nima Nassiri1, Kian Asanad1, Evalynn Vasquez1
1Institute of Urology, Keck School of Medicine, University of Southern California, Los Angeles, CA; Division of Urology, Department of Surgery, Children's Hospital Los Angeles, Los Angeles, CA.
Abstract:
A 5-week-old full-term female with high-risk right hydronephrosis was transferred to the emergency department (ED) for tachypnea. A contrast-enhanced computed tomography (CT) study demonstrated a 9.0 cm cystic lesion in the region of the previously seen hydronephrosis (Fig. 1). Urology was consulted to rule out a cystic neoplasm, which on review of imaging was more suggestive of a contained forniceal rupture. An ultrasound-guided percutaneous nephrostomy tube drained 200 cc of urine. Culture and cytology were negative. Respiratory status markedly improved. The patient was discharged with outpatient follow to evaluate for ureteropelvic junction obstruction.
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