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Monday, October 24, 2011

LEFT URINOMA, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM

WOMAN 42YO, LEFT ABDOMEN TUMOR
U/S SCAN CANNOT FIND OUT THE L KID. IT TAKES PLACE BY A BIG  CYSTIC MASS WITH SEPTATION.


THE VASCULAR STRUCTURE IS DISTORTION ON POWER DOPPLER



IVP CANNOT FIND OUT L KID.



ABDOMINAL MDCT  WITH CONTRAST  SHOWED  THE LEFT KIDEY  PULLED UP
AND RUPTURE. THE CONTRAST URINE IS LEAKED OUT THIS MASS.



PUNCTURE THE MASS FOR ASPIRATION GETTING  SOME OF YELLOWISH FLUID LIKE URINE.

IT IS AN URINOMA DUE TO RUPTURE OF LEFT KIDNEY.

SUMMARY= IVP IS NOT SENSITIVE IN COMPARISON TO  CT. ULTRASOUND IS FAST IN PERFORMANCE BUT DIFFICULT IN CASE OF BIG VOLUME TUMOR.

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