Urinoma secondary to ureteropelvic junction obstruction in the neonate. Presentation of a case and bibliographic review.
OBJECTIVE
To analyze the management of prenatal urinoma and ureteropelvic junction obstruction (UPJO) postnatally by a case report and literature review.


METHODS
We report a case of an UPJO and urinoma in a newborn. After birth, renal function was absent, and nephrectomy was performed. The literature from 1985 to date has been reviewed.


CONCLUSIONS
By the analysis of the literature, we can observe mainly, that prenatally diagnosed urinoma and UPJO are managed conservatively. After birth, different attitudes have been carried out, independently of residual renal function, such as radical or reconstructive surgery, or conservative treatment.


CONCLUSIONS
Intrauterine management is not indicated. Urinary diversion is indicated in symptomatic cases secondary to renal trauma or endoscopic procedure. In non-functional kidney, nephrectomy is indicated.
Servicio de Urologia.Hospital Universitario Doctor Peset. Valencia.Spain.
Luz Maria
LM
Moratalla Charcos
C
C
Dominguez Hinarejos
A
A
Serrano-Durba
F
F
Estornell Moragues
M
M
Martinez-Verduch
F
F
Garcia-Ibarra
D001284:Atrophy; D006801:Humans; D007231:Infant, Newborn; D007668:Kidney / Q000002:abnormalities / Q000473:pathology / Q000601:surgery; D008297:Male; D009392:Nephrectomy; D009400:Nephrosclerosis / Q000473:pathology; D011877:Radionuclide Imaging; D019275:Radiopharmaceuticals; D019783:Technetium Tc 99m Dimercaptosuccinic Acid; D014463:Ultrasonography; D014517:Ureteral Obstruction / Q000150:complications* / Q000000981:diagnostic imaging; D053584:Urinoma / Q000000981:diagnostic imaging / Q000209:etiology*
D019275:Radiopharmaceuticals; D019783:Technetium Tc 99m Dimercaptosuccinic Acid