Last update:
04-Jan-2001

Arch Hellen Med, 17(4), July-August 2000, 399-401

SHORT COMMUNICATION

Perinephric urinoma and appendicitis
The problem of double pathology

C. VAGIANOS,¹ E. FOKAEFS,² T. PETSAS,³ D. LYMBEROPOULOU,¹ C. VAGENAS¹

¹Department of Surgery,
²Department of Urology,
³Department of Radiology, University of Patras, Medical School, Patras, Greece

An unusual case is reported of a male patient operated on for an appendiceal abscess, which developed during the course of an episode of right-sided renal colic. Following appendicectomy and drainage of the abscess, the patient developed in the postoperative period a right perinephric urinoma resulting from renal distention and rupture, due to an impacted ureteric stone. Placement of an intraureteric stent and treatment with antibiotics resulted in a cure. The problem of the double pathology and its consequences is discussed.

Key words: Appendicitis, Double pathology, Perinephric urinoma.