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Circumferential perirenal urinoma mimicking nephromegaly on urography

Urologic radiology volume 11, pages 92–96 (1989)Cite this article

Abstract

Four cases of circumferential perirenal urinoma in patients with cancer are described. Intravenous urography showed evidence of apparent renal enlargement. In 1 case, opacification of extravasated urine was dense enough to be seen on the urogram, and the diagnosis was confirmed by computed tomography (CT). In the other cases, sonography followed by CT diagnosed urinoma, after tumor invasion had been suggested because of the pseudonephromegaly. Ureteral obstruction was demonstrated in all cases, due to retroperitoneal adenopathy in 1 case and to pelvic tumor in the other 3. Sonography or CT is required for the diagnosis of circumferential perirenal urinoma mimicking nephromegaly urographically.

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References

  1. Reeder MM, Felson B:Gamut in Radiology. Cincinnati: Audiovisual Radiology of Cincinnati, 1975

    Google Scholar 

  2. Shirkhoda A: Computed tomography of perirenal metastases.J Comput Assist Tomogr 10:435–438, 1986

    PubMed  CAS  Google Scholar 

  3. Pummill CL: Lesions involving the perirenal space.Semin Roentgenol 16:237–238, 1981

    PubMed  Article  CAS  Google Scholar 

  4. Feinstein KA, Fernback SK: Septated urinomas in the neonate.AJR 149:987–1000, 1987

    Google Scholar 

  5. Case records of the Massachusetts General Hospital.N Engl J Med 306:975–984, 1982

  6. Feuerstein IM, Zeman RK, Jaffe MH, Clark LR, David CL: Perirenal cobwebs: the expanding CT differential diagnosis.J Comput Assist Tomogr 8:1128–1130, 1984

    PubMed  Article  CAS  Google Scholar 

  7. Dunnick NR, Long JA Jr, Javadpour N: Perirenal extravasation of urographic contrast medium demonstrated by computed tomography.J Comput Assist Tomogr 4:538–539, 1980

    PubMed  CAS  Article  Google Scholar 

  8. McCullough DC: Renal hamartoma.Urology 4:235–240, 1974

    PubMed  Article  CAS  Google Scholar 

  9. Moorhead JD, Fritzchep, Hadley HL: Management of hemorrhage secondary to renal angiomyolipoma with selective arterial embolization.J Urol 117:122–123, 1977

    PubMed  CAS  Google Scholar 

  10. Levine E, Grantham JJ, MacDougall ML: Spontaneous subcapsular and perinephric hemorrhage in end-stage kidney disease: clinical and CT findings.AJR 148:755–758, 1987

    PubMed  CAS  Google Scholar 

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Author notes

  1. Robert Tien

    Present address: Department of Radiology, University of California at San Francisco, San Francisco, California, USA

  2. Ruppert David

    Present address: Department of Diagnostic Radiology, Baylor College of Medicine, Houston, Texas, USA

Affiliations

  1. Division of Diagnostic Imaging, Department of Diagnostic Radiology, The University of Texas M. D. Anderson Cancer Center at Houston, Houston, Texas, USA

    Robert Tien, Ali Shirkhoda M.D. & Ruppert David

Authors
  1. Robert Tien
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  2. Ali Shirkhoda M.D.
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  3. Ruppert David
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Tien, R., Shirkhoda, A. & David, R. Circumferential perirenal urinoma mimicking nephromegaly on urography. Urol Radiol 11, 92–96 (1989). https://doi.org/10.1007/BF02926484

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  • DOI: https://doi.org/10.1007/BF02926484

Key words

  • Kidneys, urinoma
  • CT, kidney
  • Ultrasonography, kidney, IVP