J Korean Soc Pediatr Nephrol.  2013 Oct;17(2):127-131.

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

• Yang TH
• Yim HE
• Yoo KH

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.

Keyword

Acute kidney injury; Foley Balloon Catheterization; Urinary Retention; Urinoma; Vesico-Ureteral Reflux

MeSH Terms

Acute Kidney Injury*
Adolescent
Catheters*
Diagnosis
Female*
Humans
Respiratory Distress Syndrome, Adult
Shock, Septic
Stents
Ureter
Urinary Retention
Urinoma*
Vesico-Ureteral Reflux