Urinary, infection is a common complication after kidney transplantation. i
n some Instances, especially with Escherichia coli/infections, there is for
mation and collection of gas in the parenchyma and collecting system of the
kidney, giving rise to the condition of emphysematous pyelonephritis. Such
a process could occur in collections of urine (urinoma) secondary to urete
ric leak in the transplant kidney. This process has not been described so f
ar. In this report, we describe the first case of an Infected urinoma with
an interesting radiologic finding, a so-called emphysematous urinoma. (C) 2
001 by the National Kidney Foundation, Inc.