Hyperammonaemic encephalopathy secondary to an infected perinephric urinoma
- Resource Type
- Authors
- Nikhil Vasdev; Ased S.M. Ali; Sebastian Mafeld; Andrew C. Thorpe; Katherine Walton; Robert Pickard; Jon Walton; David Thomas
- Source
- Journal of Clinical Urology. 6:191-193
- Subject
- medicine.medical_specialty
business.industry
Urology
Encephalopathy
medicine.disease
Urinoma
Adipose capsule of kidney
Abdominal wall
medicine.anatomical_structure
medicine
Back pain
Surgery
Radiology
medicine.symptom
Presentation (obstetrics)
Mri scan
business
- Language
- ISSN
- 2051-4166
2051-4158
previously healthy 31 year old vegan female eveloped lower back pain following a fall 4 weeks rior to presentation. A MRI scan demonstrated a arge complex left perinephric collection fistulating o the posterior-lateral abdominal wall with a comlex intra-peritoneal collection and large staghorn alculus (Fig. 1). Following admission an emergency adiological drainage of the perinephric collection as performed. Cultures from this aspirate grew scherichia coli. Within 72 h the patient became eptic again and a CT-scan confirmed a large uri