Management of Urinoma Formation After Laparoscopic Cryoablation of Renal Cyst
| Autor: | Shawn X. Li, Lawrence M. Dagrosa, Vernon M. Pais |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
Urology medicine.medical_treatment 030232 urology & nephrology Case Report 030218 nuclear medicine & medical imaging renal cyst 03 medical and health sciences 0302 clinical medicine Acute onset laparoscopic cryoablation urinoma medicine Cyst Left kidney business.industry ureteral stenting Stent Cryoablation medicine.disease Urinoma Surgery Retrograde ureteral Radiology Complication business |
| Zdroj: | Journal of Endourology Case Reports |
| ISSN: | 2379-9889 |
| DOI: | 10.1089/cren.2016.0137 |
| Popis: | Aim: To describe the presentation and management of a urinoma developing as a complication of laparoscopic cryoablation of a Bosniak III renal cyst. Case: A 74-year-old woman presented with acute onset of severe left lower abdominal pain 1 day after a laparoscopic cryoablation of a 3 cm multilobular left cystic renal mass. CT revealed a perinephric fluid collection adjacent to the lower pole of the left kidney with active urinary extravasation seen on retrograde pyelogram, confirming the presence of an urinoma. A retrograde ureteral stent was placed with complete resolution of symptoms and the patient was discharged on the first postoperative day. Follow-up CT scans 2 weeks and 2 months after the procedure showed significant reduction of urinoma size, and retrograde pyelogram 5 months after showed resolution of urinoma. Conclusion: Although often discussed as a possible complication, to our knowledge there are no published case reports in the literature regarding the formation of a urinoma after laparoscopic cryoablation. Furthermore, no data exist on the management of a urinoma after laparoscopic cryoablation. We propose that ureteral stenting is a reasonable approach to the management of this condition. |
| Databáze: | OpenAIRE |
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