Journal of Clinical and Diagnostic Research, ISSN - 0973 - 709X

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Case report
Year : 2017 | Month : November | Volume : 11 | Issue : 11 | Page : SD04 - SD06

Urinoma Secondary to Posterior Urethral Valve Presenting with Features of Intestinal Obstruction in a Neonate: A Case Report

Arijit Bhowmik, Dona Banerjee, Rajasree Sinha, Sandeep Lahiry

1. Assistant Professor, Department of Paediatric Medicine, Medical College and Hospital, Kolkata, West Bengal, India. 2. Residential Medical Officer, Department of Paediatric Medicine, Medical College and Hospital, Kolkata, West Bengal, India. 3. Postgraduate Trainee, Department of Paediatric Medicine, Medical College and Hospital, Kolkata, West Bengal, India. 4. Postgraduate Trainee, Department of Pharmacology, Institute of Postgraduate Medical Education and Research, Kolkata, West Bengal, India.

Correspondence Address :
Dr. Sandeep Lahiry,
244 A.J.C Bose Road, Department of Pharmacology, Institute of Post Graduate Medical Education and Research,
S.S.K.M Hospital, Kolkata-700020, West Bengal, India
E-mail: sndplry@gmail.com

Abstract

Urinoma (or perirenal uriniferous pseudo cyst) occurs due to extravasation of urine in the perirenal space. Common causes include traumatic renal injury or an obstruction in the outflow tract as in a posterior urethral valve. Though rare, such diagnosis should be considered in neonates presenting with expanding cystic masses in the abdomen.

Here, we present a case of a four-day-old neonate, who presented to us with abdominal distension and bilious vomiting. The initial radiographic studies showed a cystic mass surrounding the right kidney. Urine was aspirated from the mass and Micturating Cysto-Urethrogram (MCU) showed the presence of a Posterior Urethral Valve (PUV). A diagnosis of urinoma secondary to PUV was confirmed. After relieving the obstruction by vesicostomy, symptoms of intestinal obstruction resolved. On later follow up, size of urinoma also gradually decreased.

This proves that not every case of a distended abdomen and bilious vomiting in a neonate, necessarily points towards Necrotising Enterocolitis (NEC) or intestinal obstruction.

Keywords

Infant, Uretero-pelvic junction obstruction, Urine

How to cite this article :

Arijit Bhowmik, Dona Banerjee, Rajasree Sinha, Sandeep Lahiry. URINOMA SECONDARY TO POSTERIOR URETHRAL VALVE PRESENTING WITH FEATURES OF INTESTINAL OBSTRUCTION IN A NEONATE: A CASE REPORT. Journal of Clinical and Diagnostic Research [serial online] 2017 November [cited: 2018 Jan 20 ]; 11:SD04-SD06. Available from
http://www.jcdr.net/back_issues.asp?issn=0973-709x&year=2017&month=November&volume=11&issue=11&page=SD04-SD06&id=10880

DOI and Others

DOI: 10.7860/JCDR/2017/29562.10880

Date of Submission: Apr 25, 2017
Date of Peer Review: May 25, 2017
Date of Acceptance: Oct 07, 2017
Date of Publishing: Nov 01, 2017

FINANCIAL OR OTHER COMPETING INTERESTS: None.

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