title: Spontaneous rupture of the renal pelvis presenting as an urinoma in locally advanced rectal cancer.
abstract: A 29-year-old gentleman underwent a transverse colostomy for intestinal obstruction caused by advanced rectal carcinoma. On the 5(th) postoperative day, the patient developed a painful swelling on the right side of the abdomen. The contrast enhanced computed tomography of the abdomen revealed a right sided hydronephrosis, a large rent in the renal pelvis, and a large retroperitoneal fluid collection on the right side. Percutaneous nephrostomy and pigtail catheter drainage of the urinoma led to resolution of abdominal swelling. Development of a urinoma as a consequence of rectal carcinoma is highly unusual. Prompt imaging for confirmation of diagnosis, decompression of the renal pelvicalyceal system, and drainage of the urinoma limits morbidity.
authors.affiliation: Pankaj Kumar Garg, Debajyoti Mohanty, Bhupendra Kumar Jain, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi 110095, India.
authors.forename: Pankaj Kumar
authors.initials: PK
authors.lastname: Garg
authors.affiliation: Pankaj Kumar Garg, Debajyoti Mohanty, Bhupendra Kumar Jain, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi 110095, India.
authors.forename: Debajyoti
authors.initials: D
authors.lastname: Mohanty
authors.affiliation: Pankaj Kumar Garg, Debajyoti Mohanty, Bhupendra Kumar Jain, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi 110095, India.
authors.forename: Vinita
authors.initials: V
authors.lastname: Rathi
authors.affiliation: Pankaj Kumar Garg, Debajyoti Mohanty, Bhupendra Kumar Jain, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi 110095, India.
authors.forename: Bhupendra Kumar
authors.initials: BK
authors.lastname: Jain
keywords: Colorectal cancer; Percutaneous nephrostomy; Pigtail catheter drainage; Spontaneous rupture of the renal pelvis; Urinoma
references.citation: Urol Clin North Am. 1995 Feb;22(1):177-88
references.pmid: 7855953
references.citation: Ultraschall Med. 2012 Apr;33(2):113-6
references.pmid: 22639761
references.citation: Obstet Gynecol. 1987 Sep;70(3 Pt 2):511-3
references.pmid: 3627616
references.citation: Hinyokika Kiyo. 1998 Apr;44(4):285-8
references.pmid: 9617627
references.citation: J Urol. 1985 Aug;134(2):319-21
references.pmid: 4020986
references.citation: World J Surg. 2004 Jun;28(6):558-62
references.pmid: 15366745
references.citation: Int J Urol. 1997 Jan;4(1):99-100
references.pmid: 9179678
references.citation: Pathologica. 1995 Dec;87(6):712-4
references.pmid: 8927439
references.citation: Tumori. 1993 Dec 31;79(6):447-9
references.pmid: 8171749