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KMID : 0877720080120020185
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Journal of Korean Continence Society
2008 Volume.12 No. 2 p.185 ~ p.188
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Spontaneous Perinephric Urinoma in a Patient with Neurogenic Bladder
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Chung Yeun-Goo
Kim Young-Soo
Park Sung-Hoon
Park Jong-Tak
Choi Jong-Bo
Kim Yun-Beom
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Abstract
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Spontaneous rupture of the renal pelvis or ureteropelvic juction area with extravasation of urine into the perinephric space is an uncommon pathologic condition (1). We report a case of 72-year-old woman who suffered 2 days of left loin pain. The patient has got residual urine sensation and weak urine stream since she has gone through a radical hysterectomy 17 years before. Because of these symptoms of voiding difficulty, the patient had abdominal straining during her urination. A CT scan exhibited renal pelvis rupture with perirenal extravasation of urine due to severe hydronephrosis, that was exacerbated by hidden neurogenic bladder disease. Moreover, the patient has detrusor underactivity and high intravesical pressure at voiding trial in the urodynamic study. One month after the percutaneous nephrostomy insertion into the left renal pelvis, the patient was successfully treated. The size of renal pelvis decreased. Moreover, urinoma disappeared in follow up CT scan image.
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KEYWORD
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Renal pelvic, Rupture, Neurogenic Bladder, Hydronephrosis
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