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http://dx.doi.org/10.3339/jkspn.2013.17.2.127

Spontaneous Perinephric Urinoma after the Removal of a Foley Catheter in a Girl with Acute Kidney Injury  

Yang, Tae Hwan (Department of Pediatrics, College of Medicine, Korea University)
Yim, Hyung Eun (Department of Pediatrics, College of Medicine, Korea University)
Yoo, Kee Hwan (Department of Pediatrics, College of Medicine, Korea University)
Publication Information
Childhood Kidney Diseases / v.17, no.2, 2013 , pp. 127-131 More about this Journal
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.
Keywords
Acute kidney injury; Foley Balloon Catheterization; Urinary Retention; Urinoma; Vesico-Ureteral Reflux;
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