Separation of renal fragments by a urinoma after renal trauma: percutaneous drainage accelerates healing.
BACKGROUND
Two boys suffered blunt abdominal trauma resulting in renal injury. In both cases the damaged kidney was fractured through its mid-portion, and the upper and lower fragments of the kidney became widely separated by a urinoma.


METHODS
US-guided drainage of the urinoma resulted in immediate apposition of the renal fragments. The drains were left on free drainage by gravity for 1 week before removal.


RESULTS
The urinomas did not reaccumulate and follow-up DMSA scans showed good residual function.


CONCLUSIONS
We suggest that drainage of urinomas that separate renal fragments should be considered since this may accelerate healing and help preserve renal function.
Wilkinson
A G
AG
Department of Radiology, Royal Hospital for Sick Children, Yorkhill, Glasgow, UK.
Haddock
G
G
Carachi
R
R
D000058:Accidental Falls; D002648:Child; D004322:Drainage / Q000379:methods*; D006801:Humans; D007668:Kidney / Q000000981:diagnostic imaging / Q000293:injuries*; D007685:Kidney Tubules, Collecting / Q000000981:diagnostic imaging / Q000293:injuries*; D008297:Male; D012421:Rupture; D014463:Ultrasonography; D014556:Urine; D014949:Wounds, Nonpenetrating / Q000000981:diagnostic imaging / Q000628:therapy*