Abstract
Background:
A urinoma is a cyst formed by the extravasation of urine from any constituent of the urinary tract; that is, via the kidney, ureter, urinary bladder, or the urethra. It may vary in its site and size according to its etiology, the point of the extravasation, and its duration and time of diagnosis. It commonly is associated with obstruction of the lower urinary tract by an impacted urinary calculus.
Method:
Case reports.
Findings:
Two cases of fatal intra-abdominal urinomas in patients with spinal cord injury (SCI).
Conclusion:
Complications of SCI place these patients at risk for the development of urinoma. Risk is highest among individuals with recurrent urinary tract infection, stone disease, and obstructive uropathy. Providers need to be alert to this potentially curable condition that may be obscured by the paucity of intra-abdominal findings due to the nature of the spinal cord syndrome.
MeSH terms
-
Aged
-
Anti-Infective Agents, Urinary / therapeutic use
-
Candidiasis / diagnostic imaging
-
Candidiasis / etiology
-
Candidiasis / therapy
-
Cysts / diagnostic imaging
-
Cysts / etiology*
-
Cysts / therapy
-
Extravasation of Diagnostic and Therapeutic Materials / diagnostic imaging
-
Extravasation of Diagnostic and Therapeutic Materials / etiology*
-
Extravasation of Diagnostic and Therapeutic Materials / therapy
-
Fatal Outcome
-
Humans
-
Kidney Calculi / complications
-
Kidney Calculi / therapy
-
Male
-
Middle Aged
-
Nephrectomy
-
Nephrostomy, Percutaneous
-
Pseudomonas Infections / diagnostic imaging
-
Pseudomonas Infections / etiology
-
Pseudomonas Infections / therapy
-
Recurrence
-
Spinal Cord Injuries / complications*
-
Spinal Cord Injuries / diagnostic imaging
-
Spinal Cord Injuries / therapy
-
Stents
-
Suction
-
Tomography, X-Ray Computed
-
Ureteral Obstruction / complications
-
Ureteral Obstruction / therapy
-
Urinary Tract Infections / diagnostic imaging
-
Urinary Tract Infections / etiology
-
Urinary Tract Infections / therapy
-
Urine*
Substances
-
Anti-Infective Agents, Urinary