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Bilateral Spontaneous Perinephric Urine Collection in a Pregnant Lady: A Case Report | ||
| Al- Anbar Medical Journal | ||
| Volume 21, Issue 2, April 2025, Pages 140-143 PDF (4.16 M) | ||
| Document Type: Case reports | ||
| DOI: 10.33091/amj.2025.156103.2053 | ||
| Authors | ||
| Rasha N Ahmed1; Nooman Hadi Saeed2; Azzawi M. Hadi* 3; maysaloon Shaman Saeed4 | ||
| 1Department of Surgery/Radiology, College of Medicine, University of Ninevah, Mosul, Iraq. | ||
| 2Department of Surgery/Urology, College of Medicine, University of Mosul, Mosul, Iraq. | ||
| 3Department of Surgery/Urology, College of Medicine, University of Ninevah, Mosul, Iraq. | ||
| 4Department of Surgery/Radiology, College of Medicine, University of Dohuk, Dohuk, Iraq. | ||
| Abstract | ||
| Urinoma, a retroperitoneal urine collection, is a rare sequela of genitourinary disruption attributable to trauma, obstruction, or surgical interventions. Pregnancy-associated urinoma is tremendously rare. This case reports tourist attractions about an exceptional instance of bilateral spontaneous urinoma developed at the end of the first trimester. A pregnant lady of 27-year-old visited the urology clinic with left abdominal discomfort and low-grade fever at 12 weeks of gestation. Imaging revealed bilateral perinephric collections, confirmed as perinephric urinoma by aspiration and chemical analysis. The patient’s infirmity settled spontaneously at week 25 of gestation through conservative treatment and careful monitoring without unfavorable consequences on maternal or fetal health. Proper cover of antibiotics, regular ultrasound examination, and monitoring of renal function were adequate to warrant resolution, despite the preliminary worries about the possible complications. The report of this case emphasizes the importance of customized care, careful monitoring, and the prospective cure in non-interventional treatment for a rare pregnancy-associated disorder. | ||
| Keywords | ||
| Perinephric urinoma; Rupture fornix; Ureteric obstruction, Hydronephrosis, Case report | ||
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