Unsuspected rectal adenocarcinoma causing a urinoma.
A middle-aged man with a history of Hodgkin's disease presented with loin pain and microscopic hematuria. Radiologic studies demonstrated a urinoma secondary to ureteric obstruction at the pelvic brim. Percutaneous nephrostomy was performed to decompress the collection and a ureteric stent inserted to maintain drainage. Laparotomy revealed an unsuspected rectal adenocarcinoma. A metastatic deposit compressing the ureter had produced the urinoma. Metastatic colorectal carcinoma is a rare cause of urinoma.
Sayeed
R
R
Department of General Surgery and Urology, Cheltenham General Hospital, United Kingdom.
Nyamekye
I
I
Kinder
R
R
D000230:Adenocarcinoma / Q000150:complications* / Q000175:diagnosis / Q000556:secondary; D003949:Diagnostic Techniques, Surgical; D006689:Hodgkin Disease / Q000150:complications; D006801:Humans; D007813:Laparotomy; D008297:Male; D008875:Middle Aged; D009403:Nephrostomy, Percutaneous; D012004:Rectal Neoplasms / Q000150:complications* / Q000175:diagnosis / Q000473:pathology; D015607:Stents; D014057:Tomography, X-Ray Computed; D014517:Ureteral Obstruction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D014570:Urologic Diseases / Q000209:etiology* / Q000601:surgery / Q000628:therapy