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American Journal of Roentgenology, Vol 98, 47-53, Copyright © 1966 by American Roentgen Ray Society

SPONTANEOUS URINARY EXTRAVASATION ASSOCIATED WITH RENAL COLIC CAUSING A PERINEPHRIC ABSCESS

BENEDICT R. HARROW M.D.1

1 From the Section of Urology, University of Miami School of Medicine, and the Department of Urology, Mercy Hospital, Miami, Florida

Pyelosinous extravasation commonly results from acute ureteral obstruction. Ordinarily, operative drainage is not called for, but in I case a perinephric abscess resulted and required drainage. The extravasation probably is responsible for most instances of perinephritis and perinephric abscesses rather than direct ruptures of cortical abscesses. It also accounts for some cases of fibrolipomatosis of the renal sinus, localized retroperitoneal fibrosis and, occasionally, strictures of the upper ureter and calyceal infundibula. In episodes of ureteral obstruction, the associated fever and leukocytosis are often due to extravasation when urinary tract infection is absent.


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