PDF(Pubmed)
Abstract：
Urinomas are an accumulation of urine in the perirenal or paraureteral space due to urinary tract leakage. Stimulation of an inflammatory response results in the formation of a thick wall that encapsulates the urine. Etiologies of urinomas include trauma, surgery, or spontaneous occurrence. Complications when untreated vary and include peritonitis, fibrosis, abscess formation, and septic shock. We present a 52-year-old male with a neurogenic bladder who developed a rectus urinoma from the thorax to the scrotum. This likely developed from urethral trauma from intermittent self-catheterization. The patient received antibiotic therapy and percutaneous drainage catheters were placed in the rectus and pelvis, resolving the urinoma. We conclude that patients who perform intermittent self-catheterization may be more susceptible to formation of urinomas due to improper catheter usage. The intricate fascial connections between the pelvis and abdomen make proper interventions for suspected urinary tract injury crucial in patients who self-catheterize.
摘要：
尿毒症是由于尿路渗漏而在肾周或输尿管旁间隙中积聚的尿液。炎症反应的刺激导致形成包裹尿液的厚壁。尿瘤的病因包括外伤，手术,或自发发生。未经治疗的并发症各不相同，包括腹膜炎，纤维化，脓肿形成,和感染性休克。我们介绍了一名52岁的男性，患有神经源性膀胱，他从胸部到阴囊发展了直肌尿瘤。这可能是由间歇性自我导管插入术引起的尿道创伤引起的。患者接受抗生素治疗，并将经皮引流导管放置在直肌和骨盆中，解决尿瘤.我们得出的结论是，由于导管使用不当，进行间歇性自我导管插入术的患者可能更容易形成尿瘤。骨盆和腹部之间复杂的筋膜连接对于自我插管的患者来说，对可疑的尿路损伤进行适当的干预至关重要。
