Spontaneous Perinephric Urinoma after the Removal of a Foley Catheter in a Girl with Acute Kidney Injury.
- Author:
Tae Hwan YANG
1
;
Hyung Eun YIM
;
Kee Hwan YOO
Author Information
1. Department of Pediatrics, College of Medicine, Korea University, Korea. he-yim@hanmail.net
- Publication Type:Case Report
- Keywords:
Acute kidney injury;
Foley Balloon Catheterization;
Urinary Retention;
Urinoma;
Vesico-Ureteral Reflux
- MeSH:
Acute Kidney Injury*;
Adolescent;
Catheters*;
Diagnosis;
Female*;
Humans;
Respiratory Distress Syndrome, Adult;
Shock, Septic;
Stents;
Ureter;
Urinary Retention;
Urinoma*;
Vesico-Ureteral Reflux
- From:Journal of the Korean Society of Pediatric Nephrology
2013;17(2):127-131
- CountryRepublic of Korea
- Language:English
-
Abstract:
Urinomas can occur after renal trauma or perforation of the collecting system during an endosurgical procedure. However, spontaneous urinomas are very rare. Here we report a case of a spontaneous perinephric urinoma following the removal of a Foley catheter in an 18-year-old girl with acute kidney injury caused by septic shock. The patient had been treated for septic shock, acute kidney injury, and acute respiratory distress syndrome, and had a Foley catheter in place for seven days. After Foley catheter removal, the patient complained of consistent voiding difficulty. An abdominal computed tomography scan showed a large amount of left perinephric fluid, and the aspirated fluid included urothelial cells, confirming the diagnosis of a urinoma. The urinoma was successfully treated by insertion of a double-J stent into the left ureter. This report discusses the available literature on urinomas, and their clinical features, diagnosis, and treatment.
