PMC4996553_01
CT abdomen without contrast; axial image of right kidney demonstrating rupture (arrow heads) of a severely hydronephrotic pelvis with associated severe cortical atrophy and urine extravasation.
fig-1.jpg
PMC4996553_01_fig-1.jpg
f1
Also noted was a defect in the right renal pelvis, which was severely dilated and associated with severe right cortical atrophy (Fig. 1).
PMC4996553_02
(A) Delayed phase of CT urogram; axial image of left kidney showing contrast extravasation and 11 mm defect (arrow heads) in the renal pelvis. (B) Delayed phase of CT urogram; axial image of left kidney showing persistence of pelvic defect (arrow heads) with contrast extravasation, but marked interval decrease in urinoma after percutaneous nephrostomy tube placement.
fig-2.jpg
PMC4996553_02_fig-2.jpg
f2
The delayed phase showed contrast opacification of the fluid collection and a ~13 mm defect in the anterior left renal pelvis (Fig. 2A). On her third hospital day, a repeat CT urogram was obtained to reassess her injury and revealed persistence of the defect in the left anterior renal pelvis, but with marked interval decrease in the urinoma (Fig. 2B).