case_images: PMC7455810_01
case_images: Ultrasound showing severe left PUJO at presentation.
case_images: CRIU2020-8883546.001.jpg
case_images: PMC7455810_01_CRIU2020-8883546.001.jpg
case_images: fig1
case_images: 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.
case_images: CT showing severe PUJO, ruptured with compressive urinoma. P: pelvis, U: compressive urinoma.
case_images: CRIU2020-8883546.002.jpg
case_images: PMC7455810_01_CRIU2020-8883546.002.jpg
case_images: fig2
case_images: 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).
case_images: Retrograde study showing left PUJO with diluted contrast in the massive pelvis (P) and contrast in the left ureter.
case_images: CRIU2020-8883546.003.jpg
case_images: PMC7455810_01_CRIU2020-8883546.003.jpg
case_images: fig3
case_images: 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).
case_images: Xray KUB showing JJ stent across the left PUJ.
case_images: CRIU2020-8883546.004.jpg
case_images: PMC7455810_01_CRIU2020-8883546.004.jpg
case_images: fig4
case_images: 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).
case_images: Day 5 post-JJ stenting ultrasound showing resolution of urinoma and decompression of the left kidney.
case_images: CRIU2020-8883546.005.jpg
case_images: PMC7455810_01_CRIU2020-8883546.005.jpg
case_images: fig5
case_images: Repeat USS 5 days later showed resolving perinephric collection and reduction in hydronephrosis (Figure 5).