| CASE REPORT |
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| Year : 2020 | Volume
: 26
| Issue : 2 | Page : 215-216 |
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Large perinephric urinoma acting as a pop-off in a patient with asymptomatic upper ureteric stone
Kalpesh Saswade, Ganesh Sonawane, Biju S Pillai, Mohan P Sam, H Krishna Moorthy
Division of Urology, Lourdes Institute of Nephro-Urology, Lourdes Hospital, Kochi, Kerala, India
Correspondence Address:
Dr. H Krishna Moorthy
Division of Urology, Lourdes Institute of Nephro-Urology, Lourdes Hospital, Kochi - 682 012, Kerala
India
 Source of Support: None, Conflict of Interest: None
DOI: 10.4103/ksj.ksj_18_20
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Perinephric extravasation of urine with subsequent urinoma formation is a rare complication of neglected, obstructing ureteric calculi. It is associated with symptoms such as fever, lumbar pain and vomiting. We present the case of a minimally symptomatic patient who had an obstructed left upper ureteric calculus causing left hydronephrosis and a large perinephric urinoma, which probably was acting as a pop-off mechanism. Our patient was successfully managed by ureteroscopic lithotripsy with double J stenting.
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