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Huge urinoma caused by spontaneous ureteral rupture secondary to ureteral obstruction due to prostate cancer |
Miki Naitoa,*(),Rinzo Ukaia,Kunihiro Hashimotoa,Eiso Kawashitab
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aDepartment Urology, JR Hiroshima Hospital, Hiroshima, Japan bKawashita Urology Clinic, Hiroshima, Japan |
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Abstract Dear Editor, Spontaneous ureteral rupture (SUR) due to prostate cancer is very rare. The most common cause is calculus. To the best of our knowledge, SUR secondary to ureteral obstruction caused by prostate cancer was first reported by Deng et al. [1], so this case may be the second report. We report a case of a huge urinoma caused by SUR secondary to prostate cancer that was difficult to treat. This case is significant because the long-term presence of urinomas has never been reported.
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Received: 27 November 2018
Available online: 28 October 2019
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Corresponding Authors:
Miki Naito
E-mail: mikinyuki@gmail.com
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Post-contrast computed tomography image revealed a large 28 cm × 19 cm cystic lesion extending from the abdomen to the left pelvis (arrow).
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Intraoperative findings showed that the urinoma existed in succession next to the ureteropelvic junction.
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The cut face of the resected urinoma with the ureter at the bottom (arrows).
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[1] |
Deng F, Liu X, Li Y, Zhou Y, Tang J, Tang Y, et al. Ureteral obstruction by prostate cancer leads to spontaneous ureteric rupture. Int J Clin Exp Med 2015; 8:16842-4.
pmid: 26629231
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[2] |
Schwartz A, Caine M, Hermann G, Bittermann W. Spontaneous renal extravasation during intravenous urography. Am J Roentgenol Radium Ther Nucl Med 1966; 98:27-40.
pmid: 5913699
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[3] |
Kaplan LM, Farrer JH, Lupu AN. Spontaneous rupture of ureter. Urology 1987; 14:313-6.
|
[4] |
Al-Mujalhem AG, Aziz MS, Sultan MF, Al-Maghraby AM, Al-Shazly MA. Spontaneous forniceal rupture: can it be treated conservatively? Urol Ann 2017; 9:41-4.
pmid: 28216928
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[5] |
Lee J, Darcy M. Renal cysts and urinomas. Semin Interv Radiol 2011; 28:380-91.
|
[6] |
Oefelein MG. Prognostic significance of obstructive uropathy in advanced prostate cancer. Urology 2004; 63:1117e21.
|
[7] |
Tai P, Amjad A, Koul R, Sadikov E, Dubey A. Luteinizing hormone-releasing hormone antagonists for urinary obstruction in prostate cancer. Can Urol Assoc J 2013; 7:648-50.
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[8] |
Eken A, Akbas T, Arpaci T. Spontaneous rupture of the ureter. Singap Med J 2015; 56:29-31.
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