PMC4468998_01
Photos of Case 1.. Notes: (A) Intra-operative view showing a large midline urinoma. (B) Isolation of the ureter above the hematoma. (C) Intubation of the ureter with a 10 Fr feeding tube. (D) Nephrostogram done after the definitive surgery demonstrating passage of contrast from the kidney to the ureter and then to the bladder through an ileal segment (a mosaic of three fluoroscopy fields).
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Midline laparotomy revealed a large urinoma in the midline (Figure 1A). The ureter was dissected higher until a normal ureter was found (Figure 1B). A 10 Fr feeding tube was placed in the right ureter and secured with polydioxanone 2/0 sutures (Figure 1C). Three months later an ileal interposition was performed uneventfully (Figure 1D).
PMC4468998_02
PMC4468998_03