Forniceal rupture and urinoma secondary to retroperitoneal fibrosis: a clinical case and literature review
Date
2016
Type:
Artículo
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4
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ORCID:
Journal Title
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Publisher
Elsevier
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Abstract
The most frequent site of excretory system rupture that is secondary to obstruction,
usually arising from stone disease, is the renal fornix. Forniceal rupture and the formation of
retroperitoneal fluid collections are rare forms of retroperitoneal fibrosis. Presented herein is
the case of a man in the sixth decade of life that came to the emergency service because of
abdominal pain. Computed tomography scan of the abdomen and pelvis revealed a slightly
enhanced retroperitoneal soft tissue lesion that extrinsically enveloped and compressed the
right ureter. A second image of lower density was observed in the excretory phase that proved
to be a urinoma secondary to rupture of the ipsilateral renal fornix. A double-J catheter was
placed to decompress the excretory system and systemic steroid therapy was given, with good
response. Retroperitoneal fibrosis is an uncommon disease characterized by the development of
inflammation and fibrosis in the retroperitoneal space. We describe herein two forms, idiopathic
and secondary, the former being more frequent. Current evidence has associated the idiopathic
variant with IgG4-related diseases.
Description
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Citation
Rev Mex Urol 2016;76(1):41-44
Keywords
Retroperitoneal fibrosis, Images, Hydronephrosis, Forniceal rupture, Computed tomography, Urinoma