Woman 30 yo with total colectomy by colon poliposis for 2 years ; one month ago she detected ascites unknown origine at MEDIC [19, April]. Ultrasound showed that high volume ascites, normal liver and.kidney (see 4 pictures ultrasound).
CT of abdomen with CE also cannot detected the cause of ascites; she underwent laparoscopic biopsy of peritoneum and report was non specific chronic inflamation.
One week later [ 25,April, 2016] she got acute abdomen pain..and came to MEDIC again.
CT of abdomen with CE detected left kidney hydronephrosis 2nd degree and one mass of 5 cm in retroperitoneum near abdominal aorta bifurcation obstructed left ureter loodk like urinoma (see CT 1 and ultrasound images of this mass(see US 2).
Abdominal tap removed pink ascites fluid and analysis report= ADA negative, high protein, normal amylase, urea= 36.04mg/dL, creatinine 3.2 mg/mL (normal <1mg/ml).