Urinoma Secondary to Posterior Urethral Valve Presenting with Features of Intestinal Obstruction in a Neonate: A Case Report
Urinoma (or perirenal uriniferous pseudo cyst) occurs due to extravasation of urine in the perirenal space. Common causes include traumatic renal injury or an obstruction in the outflow tract as in a posterior urethral valve. Though rare, such diagnosis should be considered in neonates presenting...
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| Format: | Article |
| Language: | English |
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JCDR Research and Publications Private Limited
2017-11-01
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| Series: | Journal of Clinical and Diagnostic Research |
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| Online Access: | https://jcdr.net/articles/PDF/10880/29562_CE(RA1)_F(T)_PF1(AA_AP)_PFA(MJ_GG)_PF2(MJ_SS).pdf |
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| author | Arijit Bhowmik Dona Banerjee Rajasree Sinha Sandeep Lahiry |
| author_facet | Arijit Bhowmik Dona Banerjee Rajasree Sinha Sandeep Lahiry |
| author_sort | Arijit Bhowmik |
| collection | DOAJ |
| description | Urinoma (or perirenal uriniferous pseudo cyst) occurs due to extravasation of urine in the perirenal space. Common causes include
traumatic renal injury or an obstruction in the outflow tract as in a posterior urethral valve. Though rare, such diagnosis should be
considered in neonates presenting with expanding cystic masses in the abdomen.
Here, we present a case of a four-day-old neonate, who presented to us with abdominal distension and bilious vomiting. The
initial radiographic studies showed a cystic mass surrounding the right kidney. Urine was aspirated from the mass and Micturating
Cysto-Urethrogram (MCU) showed the presence of a Posterior Urethral Valve (PUV). A diagnosis of urinoma secondary to PUV was
confirmed. After relieving the obstruction by vesicostomy, symptoms of intestinal obstruction resolved. On later follow up, size of
urinoma also gradually decreased.
This proves that not every case of a distended abdomen and bilious vomiting in a neonate, necessarily points towards Necrotising
Enterocolitis (NEC) or intestinal obstruction. |
| first_indexed | 2024-12-21T02:12:07Z |
| format | Article |
| id | doaj.art-8538ce3f3a7c40529f26b6ade5d15f3a |
| institution | Directory Open Access Journal |
| issn | 2249-782X 0973-709X |
| language | English |
| last_indexed | 2024-12-21T02:12:07Z |
| publishDate | 2017-11-01 |
| publisher | JCDR Research and Publications Private Limited |
| record_format | Article |
| series | Journal of Clinical and Diagnostic Research |
| spelling | doaj.art-8538ce3f3a7c40529f26b6ade5d15f3a2022-12-21T19:19:20ZengJCDR Research and Publications Private LimitedJournal of Clinical and Diagnostic Research2249-782X0973-709X2017-11-011111SD04SD0610.7860/JCDR/2017/29562.10880Urinoma Secondary to Posterior Urethral Valve Presenting with Features of Intestinal Obstruction in a Neonate: A Case ReportArijit Bhowmik0Dona Banerjee1Rajasree Sinha2Sandeep Lahiry3Assistant Professor, Department of Paediatric Medicine, Medical College and Hospital, Kolkata, West Bengal, India.Residential Medical Officer, Department of Paediatric Medicine, Medical College and Hospital, Kolkata, West Bengal, India.Postgraduate Trainee, Department of Paediatric Medicine, Medical College and Hospital, Kolkata, West Bengal, India.Postgraduate Trainee, Department of Pharmacology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.Urinoma (or perirenal uriniferous pseudo cyst) occurs due to extravasation of urine in the perirenal space. Common causes include traumatic renal injury or an obstruction in the outflow tract as in a posterior urethral valve. Though rare, such diagnosis should be considered in neonates presenting with expanding cystic masses in the abdomen. Here, we present a case of a four-day-old neonate, who presented to us with abdominal distension and bilious vomiting. The initial radiographic studies showed a cystic mass surrounding the right kidney. Urine was aspirated from the mass and Micturating Cysto-Urethrogram (MCU) showed the presence of a Posterior Urethral Valve (PUV). A diagnosis of urinoma secondary to PUV was confirmed. After relieving the obstruction by vesicostomy, symptoms of intestinal obstruction resolved. On later follow up, size of urinoma also gradually decreased. This proves that not every case of a distended abdomen and bilious vomiting in a neonate, necessarily points towards Necrotising Enterocolitis (NEC) or intestinal obstruction.https://jcdr.net/articles/PDF/10880/29562_CE(RA1)_F(T)_PF1(AA_AP)_PFA(MJ_GG)_PF2(MJ_SS).pdfinfanturetero-pelvic junction obstructionurine |
| spellingShingle | Arijit Bhowmik Dona Banerjee Rajasree Sinha Sandeep Lahiry Urinoma Secondary to Posterior Urethral Valve Presenting with Features of Intestinal Obstruction in a Neonate: A Case Report Journal of Clinical and Diagnostic Research infant uretero-pelvic junction obstruction urine |
| title | Urinoma Secondary to Posterior Urethral Valve Presenting with Features of Intestinal Obstruction in a Neonate: A Case Report |
| title_full | Urinoma Secondary to Posterior Urethral Valve Presenting with Features of Intestinal Obstruction in a Neonate: A Case Report |
| title_fullStr | Urinoma Secondary to Posterior Urethral Valve Presenting with Features of Intestinal Obstruction in a Neonate: A Case Report |
| title_full_unstemmed | Urinoma Secondary to Posterior Urethral Valve Presenting with Features of Intestinal Obstruction in a Neonate: A Case Report |
| title_short | Urinoma Secondary to Posterior Urethral Valve Presenting with Features of Intestinal Obstruction in a Neonate: A Case Report |
| title_sort | urinoma secondary to posterior urethral valve presenting with features of intestinal obstruction in a neonate a case report |
| topic | infant uretero-pelvic junction obstruction urine |
| url | https://jcdr.net/articles/PDF/10880/29562_CE(RA1)_F(T)_PF1(AA_AP)_PFA(MJ_GG)_PF2(MJ_SS).pdf |
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