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. This case highlights the importance of considering spontaneous urinoma as a potential differential diagnosis in patients with acute abdominal symptoms. Early diagnosis and intervention are crucial to prevent severe complications and improve outcomes in such cases.
Keywords: Bowel obstruction; Computed tomography; Perirenal pseudocyst; Pyeloureteritis; Urinoma.
© 2024 The Authors. Published by Elsevier Inc. on behalf of University of Washington.