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Genitourinary
Diagnosis
Kidney and Renal Pelvis
Trauma
Urinoma
Urinoma
Matthew T. Heller, MD, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Clinical Issues

          TERMINOLOGY

          • Definitions

            • Loculated collection of urine from urinary leak

          IMAGING

          • General Features

            • Imaging Recommendations

              • Ultrasonographic Findings

                • CT Findings

                  • MR Findings

                    • Radiographic Findings

                      DIFFERENTIAL DIAGNOSIS

                        PATHOLOGY

                        • General Features

                          • Gross Pathologic & Surgical Features

                            CLINICAL ISSUES

                            • Presentation

                              • Demographics

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Arraiza M et al: Primary cystic peritoneal masses and mimickers: spectrum of diseases with pathologic correlation. Abdom Imaging. ePub, 2014
                                      2. Dayal M et al: Imaging in renal trauma. World J Radiol. 5(8):275-84, 2013
                                      3. Tsai CF et al: Huge urinoma presenting as a bulging mass. Nephrology (Carlton). 18(6):477, 2013
                                      4. Lee J et al: Renal cysts and urinomas. Semin Intervent Radiol. 28(4):380-91, 2011
                                      5. Catala V et al: CT findings in urinary diversion after radical cystectomy: Postsurgical anatomy and complications. Radiographics 29 (2): 461-476; 2009
                                      6. Testa AC et al: Sonographic imaging of urinoma. Ultrasound Obstet Gynecol. 33(4):490-1, 2009
                                      7. Ushioda N et al: Maternal urinoma during pregnancy. J Obstet Gynaecol Res. 34(1):88-91, 2008
                                      8. Gunatunga I et al: Perinephric urinoma secondary to perforated UPJ obstruction diagnosed using Tc-99m mercaptoacetyltriglycine (MAG3) SPECT/CT. Clin Nucl Med. 32(4):317-9, 2007
                                      9. Gayer G et al: Bilateral pelvic urinomas following ureteral injury from surgery: lymphocele look-alikes on computed tomography. Emerg Radiol. 11(3):167-9, 2005
                                      10. Maaloul M et al: Diagnosis of urinoma complicating a renal graft using 99mTc-DTPA scintigraphy and factor analysis. Eur J Nucl Med Mol Imaging. 32(7):854, 2005
                                      11. Gayer G et al: Ureteral injuries: CT diagnosis. Semin Ultrasound CT MR. 25(3):277-85, 2004
                                      12. Titton RL et al: Urine leaks and urinomas: diagnosis and imaging-guided intervention. Radiographics. 23(5):1133-47, 2003
                                      13. Gayer G et al: Perirectal urinoma from ureteral injury incurred during spinal surgery mimicking rectal perforation on computed tomography scan. Spine. 27(20):E451-3, 2002
                                      14. Gayer G et al: Urinomas caused by ureteral injuries: CT appearance. Abdom Imaging. 27(1):88-92, 2002
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Clinical Issues

                                              TERMINOLOGY

                                              • Definitions

                                                • Loculated collection of urine from urinary leak

                                              IMAGING

                                              • General Features

                                                • Imaging Recommendations

                                                  • Ultrasonographic Findings

                                                    • CT Findings

                                                      • MR Findings

                                                        • Radiographic Findings

                                                          DIFFERENTIAL DIAGNOSIS

                                                            PATHOLOGY

                                                            • General Features

                                                              • Gross Pathologic & Surgical Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Demographics

                                                                    • Natural History & Prognosis

                                                                      • Treatment

                                                                        DIAGNOSTIC CHECKLIST

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Arraiza M et al: Primary cystic peritoneal masses and mimickers: spectrum of diseases with pathologic correlation. Abdom Imaging. ePub, 2014
                                                                          2. Dayal M et al: Imaging in renal trauma. World J Radiol. 5(8):275-84, 2013
                                                                          3. Tsai CF et al: Huge urinoma presenting as a bulging mass. Nephrology (Carlton). 18(6):477, 2013
                                                                          4. Lee J et al: Renal cysts and urinomas. Semin Intervent Radiol. 28(4):380-91, 2011
                                                                          5. Catala V et al: CT findings in urinary diversion after radical cystectomy: Postsurgical anatomy and complications. Radiographics 29 (2): 461-476; 2009
                                                                          6. Testa AC et al: Sonographic imaging of urinoma. Ultrasound Obstet Gynecol. 33(4):490-1, 2009
                                                                          7. Ushioda N et al: Maternal urinoma during pregnancy. J Obstet Gynaecol Res. 34(1):88-91, 2008
                                                                          8. Gunatunga I et al: Perinephric urinoma secondary to perforated UPJ obstruction diagnosed using Tc-99m mercaptoacetyltriglycine (MAG3) SPECT/CT. Clin Nucl Med. 32(4):317-9, 2007
                                                                          9. Gayer G et al: Bilateral pelvic urinomas following ureteral injury from surgery: lymphocele look-alikes on computed tomography. Emerg Radiol. 11(3):167-9, 2005
                                                                          10. Maaloul M et al: Diagnosis of urinoma complicating a renal graft using 99mTc-DTPA scintigraphy and factor analysis. Eur J Nucl Med Mol Imaging. 32(7):854, 2005
                                                                          11. Gayer G et al: Ureteral injuries: CT diagnosis. Semin Ultrasound CT MR. 25(3):277-85, 2004
                                                                          12. Titton RL et al: Urine leaks and urinomas: diagnosis and imaging-guided intervention. Radiographics. 23(5):1133-47, 2003
                                                                          13. Gayer G et al: Perirectal urinoma from ureteral injury incurred during spinal surgery mimicking rectal perforation on computed tomography scan. Spine. 27(20):E451-3, 2002
                                                                          14. Gayer G et al: Urinomas caused by ureteral injuries: CT appearance. Abdom Imaging. 27(1):88-92, 2002