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CASE REPORT
Year : 2015  |  Volume : 3  |  Issue : 2  |  Page : 314-316

Devastating complication due to rupture of obstructive perinephric urinoma with secondary pyonephrosis necessitating nephrectomy of nonfunctional kidney in a child


Department of Pediatrics, Gujarat Medical Education and Research Society Medical College, Sola, Sarkhej Gandhinagar, Sola, Ahmedabad, Gujarat, India

Correspondence Address:
Nehal Patel
Department of Pediatrics, Gujarat Medical Education and Research Society Medical College, Sola, Near Gujarat High Court, Sarkhej Gandhinagar Highway, Sola, Ahmedabad - 380 060, Gujarat
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2321-4848.171937

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Rupture of the pelvicalyceal urinary collecting system causing perirenal and retroperitoneal extravasation of the urine and subsequent mass with secondary infection is a rare complication of ureteral-obstructing calculi. We report a rare case of calyceal rupture with urinoma formation in a child presenting with acute abdomen and nonremitting fever due to secondary pyonephrosis. The retroperitoneal mass on abdomen sonography was confirmed as urinoma communicating with the upper ureter on computed tomography (CT). Gross anatomical observation during surgical intervention revealed extensive pyonephrosis with adhesions involving the adjacent intestinal loop. In addition to complete resection and removal of urinoma, nephrectomy of nonfunctioning right kidney was performed. Patient was discharged after an uneventful postoperative period of 7 days.


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