Abstract
We report a unique case of adult-type polycystic kidney disease (PKD) having bilateral chronic perirenal fluid collection with unusual extension. Fluid collections at both sides are connected across the midline anterior to the abdominal aorta and inferior vena cava. In addition, supradiaphragmatic extension through aortic hiatus was well demonstrated by computed tomography (CT). Anatomical boundaries and relations between two perirenal spaces are evaluated.
Similar content being viewed by others
References
Meyers MA. Uriniferous perirenal pseudocyst: new observations. Radiology 1974;111:17–26
Kneeland JB, Auh YH, Rubinstein WA, Zirinsky K, et al. Perirenal spaces: CT evidence for communication across the midline. Radiology 1987;164:657–664
Feldberg MAM. Computed tomography of the retroperitoneum: An anatomical and pathologic atlas with emphasis on the fascial planes. Dordrecht, The Netherlands: Martinus Nijhoff, 1983:169–172
Tobin CE, Benjamin JA, Wells JC. Continuity of the fasciae lining the abdomen, pelvis and spermatic cord. Surg Gynecol Obstet 1946;83:575–596
Somogy J, Cohen WN, Omar MM, Makhuli Z. Communication of right and left perirenal spaces demonstrated by computed tomography. J Comput Assist Tomogr 1979;3:270–273
Gerota D. Beitrage zur Kentnis des Befestigungsapparatesder niere. Archives für Anatomie und Entwicklung. Anat Abteil 1895:265–285
Zuckerkandl E. Beitrage zur anatomie des menschlischen korpers I. Ueber den Fixationsapparat der Nieren. Medizinisches Jahrbuch 2. Vienna 1883;13:59–67
Martin CP. A note on the renal fascia. J Anat 1942;77:101–103
Kunin M. Bridging septa of the perinephric space: anatomic, pathologic, and diagnostic considerations. Radiology 1986;158:361–365
Mitchell GAG. The renal fascia. Br J Surg 1950;37:257–266
Baron RL, Stark DD, McClennan BL, Shanes JG et al. Intra thoracic extension of retroperitoneal urine collections. AJR 1981;137:37–41
Barek LB, Cigtay OS. Urinothorax an unusual pleural effusion. Br J Radiol 1975;48:685–686
Lahiry SK, Alkhafaji AH, Brown AL. Urinothorax J Trauma 1978;18:608–610
Corriere JN, Miller WT, Murphy JJ. Hydronephrosis as a cause of pleural effusion. Radiology 1968;90:79–84
Mayerson HS. The lymphatic system with particular reference to the kidney. Surg Gynecol Obstet 1963;116:259–272
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Akpek, S., Ilgit, E.T., Araç, M. et al. Bilateral perirenal urinoma with mediastinal extension. Abdom Imaging 20, 267–269 (1995). https://doi.org/10.1007/BF00200413
Received:
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF00200413