| 급성 신부전 환아에서 유치 도뇨관 제거 후 발생한 신주위 요낭종 1례 |
| 양태환, 임형은, 유기환 |
| 고려대학교 의과대학 소아과학교실 |
| Spontaneous Perinephric Urinoma after the Removal of a Foley Catheter in a Girl with Acute Kidney Injury |
| Tae Hwan Yang, Hyung Eun Yim, Kee Hwan Yoo |
| Department of Pediatrics, College of Medicine, Korea University |
Corresponding Author:
Hyung Eun Yim ,Tel: 031-412-5096, Fax: 031-405-8591, Email: he-yim@hanmail.net
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Received: July 29, 2013; Accepted: August 29, 2013. |
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| This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http:// creativecommons. org/licenses/bync/3.0/) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited. |
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| ABSTRACT |
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Urinomas can occur after renal trauma or perforation of the collecting system during an endosurgical procedure. However, spontaneous urinomas are very rare. Here we report a case of a spontaneous perinephric urinoma following the removal of a Foley catheter in an 18-year-old girl with acute kidney injury caused by septic shock. The patient had been treated for septic shock, acute kidney injury, and acute respiratory distress syndrome, and had a Foley catheter in place for seven days. After Foley catheter removal, the patient complained of consistent voiding difficulty. An abdominal computed tomography scan showed a large amount of left perinephric fluid, and the aspirated fluid included urothelial cells, confirming the diagnosis of a urinoma. The urinoma was successfully treated by insertion of a double-J stent into the left ureter. This report discusses the available literature on urinomas, and their clinical features, diagnosis, and treatment. |
| Key words:
Acute kidney injury | Foley Balloon Catheterization | Urinary Retention | Urinoma | Vesico-Ureteral Reflux |
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