Article Data

  • Views 910
  • Dowloads 135

Case Reports

Open Access

Renal calyceal rupture with extensive urinoma formation as a complication of cervical cancer

  • Sehrish Sardar1
  • Ashley Hickman2
  • Andrea E. Wahner Hendrickson3,*,

1Department of Internal Medicine, Mayo Clinic, Rochester, MN 55905, USA

2Department of Hematology and Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA

3Department of Medical Oncology, Mayo Clinic, Rochester, MN 55905, USA

DOI: 10.22514/ejgo.2024.019 Vol.45,Issue 1,February 2024 pp.139-142

Submitted: 10 June 2023 Accepted: 21 July 2023

Published: 15 February 2024

*Corresponding Author(s): Andrea E. Wahner Hendrickson E-mail:


Renal calyceal rupture (RCR) is a rare phenomenon most commonly caused by increased renal pelvic pressure from ureteral obstruction. This can occur in the setting of acute obstruction such as with kidney stones and is not commonly seen as a consequence of malignancy due to the chronic nature of obstruction. In this case, we describe a patient with newly diagnosed cervical cancer presenting with thigh pain who was found to have a urinoma from RCR caused by malignant obstruction. We discuss the workup of a pelvic mass presenting as flank pain, as well as the role of history and physical exam when reviewing imaging. We also review the management of RCR in the setting of malignant obstruction. Lastly we highlight the alterations to cervical cancer treatment due to the presence of the infected urinoma.


Cervical cancer; Urinoma; Renal calyceal rupture

Cite and Share

Sehrish Sardar,Ashley Hickman,Andrea E. Wahner Hendrickson. Renal calyceal rupture with extensive urinoma formation as a complication of cervical cancer. European Journal of Gynaecological Oncology. 2024. 45(1);139-142.


[1] Gershman B, Kulkarni N, Sahani DV, Eisner BH. Causes of renal forniceal rupture. BJU International. 2011; 108: 1909–1911.

[2] Luu DT, Duc NM, Tra My T, Duc NH, Bang LV, Van Lenh B. Subcapsular urinoma following metastasis of testicular embryonal carcinoma. Urology Case Reports. 2021; 37: 101615.

[3] Cormio G, Cormio L, Di Gesu’ G, Loverro G, Selvaggi L. Calyceal rupture and perirenal urinoma as a presenting sign of recurrent ovarian cancer. Gynecologic Oncology. 2001; 83: 415–417.

[4] Vaidya R, Swetz KM. Urinoma presenting as an abscess in an immunocompromised host: a case report. Journal of Medical Case Reports. 2013; 7: 193.

[5] Siddiqui M, Rizvi S, Ibne A, Syed M. A case report: urinoma as initial presenting sign of bladder malignancy. Indian Journal of Cancer. 2011; 48: 516–517.

[6] Shrivastava S, Mahantshetty U, Engineer R, Chopra S, Hawaldar R, Hande V, et al. Cisplatin chemoradiotherapy vs radiotherapy in FIGO stage IIIB squamous cell carcinoma of the uterine cervix: a randomized clinical trial. JAMA Oncology. 2018; 4: 506–513.

[7] Inoue T, Miyazaki J, Ichioka D, Narita S, Kageyama S, Sugimoto M, et al. A comparison of nephrotoxicity between patients with a solitary-functioning kidney and those with bilateral-functioning kidneys in cisplatin-based chemotherapy for advanced urothelial carcinoma: a Japanese retrospective multi-institutional study. BMC Cancer. 2018; 18: 290.

[8] Gültekin A, Yaylalı O, Şengöz T, Yüksel D. Incidental “urinoma” in 18F-FDG PET/CT scan. Molecular Imaging and Radionuclide Therapy. 2019; 28: 123–125.

[9] Liu W, Yao X, Ou X. Incidental diagnosis of right renal subcapsular urinoma on an 18 F-FDG PET/CT scan performed for staging of cervical cancer. Clinical Nuclear Medicine. 2022; 47: 739–740.

[10] Potenta SE, D’Agostino R, Sternberg KM, Tatsumi K, Perusse K. CT urography for evaluation of the ureter. RadioGraphics. 2015; 35: 709–726.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Submission Turnaround Time