Calyceal rupture and perirenal urinoma as a presenting sign of recurrent ovarian cancer

Gynecologic Oncology
G CormioL Selvaggi

Abstract

Rupture of the urinary collecting system with peripelvic extravasation of urine is an uncommon pathologic condition usually associated with ureteral obstruction from calculi. We report a patient with calyceal rupture and peripelvic extravasation of urine secondary to distal ureteral obstruction by recurrent ovarian carcinoma. Diagnosis was established with computed tomography and renal scans. Placement of an indwelling ureteral stent via a nephrostomy resolved the urinoma. Gynecologic oncologists should be aware that calyceal rupture is a potential complication of gynecologic malignancy. Causes of perirenal urinary extravasation and approaches to diagnosis and management are reviewed.

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Citations

Oct 30, 2008·Archives of Gynecology and Obstetrics·Iqbal SinghGopesh Mehrotra
Apr 29, 2014·The American Journal of Emergency Medicine·Guang-Heng ChenChao-Hsiang Chang
Oct 23, 2013·Journal de gynécologie, obstétrique et biologie de la reproduction·E BoulayC Pomel
Jul 9, 2011·BJU International·Boris GershmanBrian H Eisner
Oct 12, 2010·The American Journal of Medicine·Sonia Tanwar, Amit Joshi
Apr 26, 2006·The American Journal of Emergency Medicine·Wan-Ching LienChia-Chun Hsu
Apr 26, 2006·The American Journal of Emergency Medicine·Enrico FerriCarlo Capotondi
Aug 19, 2007·The Journal of Emergency Medicine·Asli KoktenerAkif Koc

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