Rao Shivali, Khatiwada Abhikanta, Thapa Bikram, Regmi Pradeep Raj, Thapa Ajit
Department of Radiology; Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Radiol Case Rep. 2024 Nov 30;20(2):1130-1134. doi: 10.1016/j.radcr.2024.10.145. eCollection 2025 Feb.
Spontaneous urinomas are rare, encapsulated urine collections in the retroperitoneum that occur without prior trauma or obstruction. It often presents with nonspecific abdominal symptoms, mimicking various acute abdominal pathologies. This case report describes a rare and unique instance of spontaneous urinoma secondary to pyeloureteritis, presenting with atypical clinical features that mimic acute bowel obstruction. This case highlights the importance of considering spontaneous urinoma as a potential differential diagnosis in patients with acute abdominal symptoms. Early diagnosis and intervention are crucial to prevent severe complications and improve outcomes in such cases.
自发性尿瘤罕见,是腹膜后出现的包裹性尿液聚集,发生于无先前创伤或梗阻的情况下。它常表现为非特异性腹部症状,酷似各种急性腹部病变。本病例报告描述了一例罕见且独特的继发于肾盂输尿管炎的自发性尿瘤,呈现出酷似急性肠梗阻的非典型临床特征。本病例突出了在有急性腹部症状的患者中考虑自发性尿瘤作为潜在鉴别诊断的重要性。早期诊断和干预对于预防此类病例的严重并发症及改善预后至关重要。