A Decade-Old Giant Urinoma Following Ureteric Injury

Area of Science:

• Urology
• Surgical Case Report

Background:

• Urinoma, an extra-urinary urine collection, is rare and often linked to trauma or obstruction.
• Giant urinomas are exceptionally uncommon and can mimic other intra-abdominal pathologies.

Purpose of the Study:

• To report a challenging case of a giant urinoma.
• To highlight diagnostic difficulties and the role of surgical intervention.

Main Methods:

• A 55-year-old woman with a history of ovariotomy presented with abdominal distension.
• Imaging studies (ultrasound, CT, MR) were inconclusive.
• Surgical exploration was performed due to diagnostic uncertainty.

Main Results:

• A 25 cm urinoma was discovered intraoperatively, connected to the left ureter.
• The urinoma was drained, excised, and the ureter repaired successfully.
• Histopathology confirmed the urinoma diagnosis.

Conclusions:

• Giant urinomas can present atypically, posing diagnostic challenges.
• Delayed complications from pelvic surgery should be considered.
• Surgical exploration is crucial for definitive diagnosis and management.