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[Perirenal urinoma]

S Rohner1, Y Tuchschmid, P Graber

  • 1Département de Chirurgie, Hôpital Cantonal Universitaire de Genève, Suisse.

Annales D'Urologie
|January 1, 1994
PubMed
Summary
This summary is machine-generated.

A urinoma is a urine collection outside the urinary tract, often caused by kidney injury or obstruction. Early CT diagnosis aids treatment, with percutaneous drainage sometimes sufficient.

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Area of Science:

  • Urology
  • Nephrology
  • Radiology

Background:

  • A urinoma is defined as an encapsulated extravasation of urine.
  • It can arise secondary to trauma or spontaneously.

Observation:

  • Essential factors for urinoma formation include continued renal function, collecting system rupture, and distal obstruction.
  • Extravasated urine triggers lipolysis and a significant fibrous reaction, creating a thick wall.
  • Lipolysis may result from mass effect, as direct urine effects on adipocytes are unproven.

Findings:

  • Early diagnosis of urinomas is achievable through computed tomography (CT) scans.
  • CT imaging facilitates simpler treatment strategies.

Implications:

  • Percutaneous drainage can be a sufficient treatment modality for urinomas in select cases.
  • Prompt diagnosis and intervention can improve patient outcomes for urinoma management.