Spontaneous Perinephric Urinoma Secondary to Drug Induced Acute Interstitial Nephritis: A Case Report

Author:

Varatharajaperumal Rajesh Kumar1,Renganathan Rupa1,Mangalakumar V2,Rajasekaran Sriman1,Arunachalam Venkatesh Kasi1

Affiliation:

1. Department of Radiology, Kovai Medical Center and Hospital, Coimbatore, India

2. Department of Nephrology, Kovai Medical Center and Hospital, Coimbatore, India

Abstract

AbstractUrinoma is defined as the extravasation of urine from any part of the urinary collecting system, which causes lipolysis of the surrounding fat, resulting in an encapsulated collection. The most common cause of urinoma is the direct obstruction of the urinary system. The other etiologies include trauma and postinstrumentation/surgery. Parenchymal cause for spontaneous urinoma is exceedingly rare. We present a case of a 30-year-old gentleman who presented with lower abdominal pain and was treated with a Diclofenac injection. The pain got better temporarily, but he presented again with right loin pain after 3 days. His computed tomography scan images revealed bilateral perinephric urinoma. As there was significant deterioration of renal function, he underwent a renal biopsy. The histopathology was reported as acute interstitial nephritis (AIN). Drug-induced AIN is very rarely presented with acute loin or abdominal pain due to spontaneous perinephric urinoma, as it was seen in our case.

Publisher

Georg Thieme Verlag KG

Subject

General Medicine,General Chemistry

Cited by 1 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

1. Stomach and Duodenum: Special Issue—Part Two;Journal of Gastrointestinal and Abdominal Radiology;2021-12

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