Abstract
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. Materials and 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. Conclusion. We suggest that drainage of urinomas that separate renal fragments should be considered since this may accelerate healing and help preserve renal function.
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Received: 8 April 1998 Accepted: 12 January 1999
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Wilkinson, A., Haddock, G. & Carachi, R. Separation of renal fragments by a urinoma after renal trauma: percutaneous drainage accelerates healing. Pediatric Radiology 29, 503–505 (1999). https://doi.org/10.1007/s002470050630
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DOI: https://doi.org/10.1007/s002470050630