Case Report
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World J Clin Cases. Apr 16, 2014; 2(4): 108-110
Published online Apr 16, 2014. doi: 10.12998/wjcc.v2.i4.108
Spontaneous rupture of the renal pelvis presenting as an urinoma in locally advanced rectal cancer
Pankaj Kumar Garg, Debajyoti Mohanty, Vinita Rathi, Bhupendra Kumar Jain
Pankaj Kumar Garg, Debajyoti Mohanty, Bhupendra Kumar Jain, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi 110095, India
Pankaj Kumar Garg, Department of Surgical Oncology, All India Institute of Medical Sciences, New Delhi 110029, India
Vinita Rathi, Department of Radiology, University College of Medical Sciences and Guru Teg Bahadur Hospital, Delhi 110095, India
Author contributions: Garg PK and Mohanty D designed the report; all the authors actively managed the patient; Garg PK and Mohanty D collected the patient’s clinical data; all the authors analyzed the case, drafted the manuscript and finally approved it.
Correspondence to: Dr. Pankaj Kumar Garg, Assistant Professor, Department of Surgery, University College of Medical Sciences and Guru Teg Bahadur Hospital, Dilshad Garden, Delhi 110095, India. dr.pankajgarg@gmail.com
Telephone: +91-11-22692536 Fax: +91-11-22590495
Received: December 25, 2013
Revised: January 26, 2014
Accepted: February 20, 2014
Published online: April 16, 2014
Core Tip

Core tip: A recent development of a loin swelling in a patient with a malignant pelvic tumor should alert the clinician to the possibility of a urinoma due to spontaneous rupture of the obstructed renal pelvis. Early imaging for confirmation of diagnosis and decompression of the renal pelvicalyceal system help to arrest a further downhill course of the patients.