PMC7455810_01
Ultrasound showing severe left PUJO at presentation.
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Ultrasound (USS) showed marked left (Figure 1) hydronephrosis with thinning of the renal cortex and severely dilated renal pelvis with an anteroposterior diameter of 6.3 cm.
CT showing severe PUJO, ruptured with compressive urinoma. P: pelvis, U: compressive urinoma.
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This collection resulted in displacement of the left kidney and compression of left renal parenchyma:The clinical and imaging features were suggestive of Page kidney (Figure 2).
Retrograde study showing left PUJO with diluted contrast in the massive pelvis (P) and contrast in the left ureter.
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Under general anaesthetic, she underwent USS guided aspiration of the tense subcapsular collection (150 ml), followed by a Retrograde Pyelogram (RGP) and cystoscopic placement of a 3.5 F 16 cm JJ stent across the PUJO (Figures 3 and 4).
Xray KUB showing JJ stent across the left PUJ.
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Under general anaesthetic, she underwent USS guided aspiration of the tense subcapsular collection (150 ml), followed by a Retrograde Pyelogram (RGP) and cystoscopic placement of a 3.5 F 16 cm JJ stent across the PUJO (Figures 3 and 4).
Day 5 post-JJ stenting ultrasound showing resolution of urinoma and decompression of the left kidney.
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Repeat USS 5 days later showed resolving perinephric collection and reduction in hydronephrosis (Figure 5).