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When Elevated Creatinine Is Not What It Seems: Intraperitoneal Urinary Leak Mimicking Acute Kidney Injury.
Cureus
December 2024
Hospital Medicine, Cleveland Clinic Abu Dhabi, Abu Dhabi, ARE.
Acute kidney injury (AKI) is typically classified as prerenal, renal, or postrenal in etiology, with postrenal often referring to obstructive causes. However, certain uncommon conditions, such as intraperitoneal urinary leaks, may not fit clearly into these categories. In patients with a recent history of pelvic procedure, a complication such as intraperitoneal urinary leak can mimic AKI due to urine reabsorption across the peritoneum.
View Article and Find Full Text PDFAtypical presentation of spontaneous urinoma: A case report.
Radiol Case Rep
February 2025
Department of Radiology; Tribhuvan University Teaching Hospital, Kathmandu, Nepal.
Spontaneous urinomas are rare, encapsulated urine collections in the retroperitoneum that occur without prior trauma or obstruction. It often presents with nonspecific abdominal symptoms, mimicking various acute abdominal pathologies. This case report describes a rare and unique instance of spontaneous urinoma secondary to pyeloureteritis, presenting with atypical clinical features that mimic acute bowel obstruction.
View Article and Find Full Text PDFMinimally invasive intervention of forniceal rupture in a solitary functioning kidney: A case report.
Urol Case Rep
January 2025
Urology Unit, Department of Surgery, Al-Amiri Hospital, Kuwait City, Kuwait.
Renal Forniceal rupture is a common urological emergency, most commonly due to an underlying ureteral obstruction. There is no standardized management for forniceal rupture. We report a 70-year-old female who presented with vague abdominal symptoms, and acute on Chronic Kidney Disease.
View Article and Find Full Text PDFUrinoma: A Rare but Potential Differential of Acute Abdomen.
Cureus
August 2024
Diagnostic Radiology, Institute of Nuclear Medicine and Oncology Lahore (INMOL) Cancer Hospital, Lahore, PAK.
Urinoma is an encapsulated collection of extravasated urine in the retroperitoneal space. This rare and potentially dangerous event can occur spontaneously or iatrogenically varying from asymptomatic cases to acute abdomen. The initial diagnostic modality is ultrasound.
View Article and Find Full Text PDFLymphoscintigraphy - Beyond Lymphedema.
Indian J Nucl Med
August 2024
Department of Respiratory Medicine, Nizam's Institute of Medical Sciences, Hyderabad, Telangana, India.
Lymphoscintigraphy is an established modality for imaging the lymphatic system using radiocolloids and is routinely indicated to find the cause of limb lymphedema. However, in this case series, we are highlighting other less-known indications of lymphoscintigraphy like chylothorax and chyluria which present as lymphatic leaks in the thorax and abdomen, respectively. Once the site of the lymphatic leak is established by lymphoscintigraphy, definitive management like thoracic duct ligation or sclerotherapy can be done.
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