Spontaneous perinephric urinoma presenting as acute abdomen in the third trimester: A case report

In the absence of trauma, urinoma due to spontaneous rupture either renal parenchyma or collecting system is rare. It even rarer and difficult diagnose in pregnancy. Hence, imaging plays a key role early identification this condition initiation management. The primary investigation ultrasonography if it inconclusive, magnetic resonance preferred next step. We report case 25-year-old primigravida at 34 weeks gestation with acute pain right loin loer abdomen without any history trauma. She had right-sided hydroureteronephrosis on ultrasound, later, MRI, perinephric was detected evidence underlying pathology. underwent double J-stenting soon became symptom-free. Early detection required prevent associated complications such as peritonitis, abscess, periureteral fibrosis. Therefore, clinician should have high index suspicion when working up flank during