Giant urinoma in spinal cord injury: report of two cases.
BACKGROUND
A urinoma is a cyst formed by the extravasation of urine from any constituent of the urinary tract; that is, via the kidney, ureter, urinary bladder, or the urethra. It may vary in its site and size according to its etiology, the point of the extravasation, and its duration and time of diagnosis. It commonly is associated with obstruction of the lower urinary tract by an impacted urinary calculus.


METHODS
Case reports.


RESULTS
Two cases of fatal intra-abdominal urinomas in patients with spinal cord injury (SCI).


CONCLUSIONS
Complications of SCI place these patients at risk for the development of urinoma. Risk is highest among individuals with recurrent urinary tract infection, stone disease, and obstructive uropathy. Providers need to be alert to this potentially curable condition that may be obscured by the paucity of intra-abdominal findings due to the nature of the spinal cord syndrome.
Eltorai
Ibrahim M
IM
Spinal Cord Injury/Disorders Health Care Group, Department of Veterans Affairs Medical Center, Long Beach, California, USA. eltoraihb@webtv.net
Hovey
Regina M
RM
Ronningen
Leland D
LD
Montroy
Robert E
RE
Gutierrez
Paul A
PA
Aesquivel
Lourde
L
D000368:Aged; D000892:Anti-Infective Agents, Urinary / Q000627:therapeutic use; D002177:Candidiasis / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D003560:Cysts / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D005119:Extravasation of Diagnostic and Therapeutic Materials / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy; D017809:Fatal Outcome; D006801:Humans; D007669:Kidney Calculi / Q000150:complications / Q000628:therapy; D008297:Male; D008875:Middle Aged; D009392:Nephrectomy; D009403:Nephrostomy, Percutaneous; D011552:Pseudomonas Infections / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D012008:Recurrence; D013119:Spinal Cord Injuries / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D015607:Stents; D013396:Suction; D014057:Tomography, X-Ray Computed; D014517:Ureteral Obstruction / Q000150:complications / Q000628:therapy; D014552:Urinary Tract Infections / Q000000981:diagnostic imaging / Q000209:etiology / Q000628:therapy; D014556:Urine
D000892:Anti-Infective Agents, Urinary