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What grade is given to renal trauma involving a urine leak?
Renal trauma is graded from I - V on the basis of CT findings. This cases demonstrates a grade IV injury, due to a urine leak and urinoma.
What are the treatments options for a traumatic urinoma.
Small urinomas may be treated conservatively with follow-up imaging only. Large urinoma may be drained percutaneously using image guidance. Rarely surgical intervention is required.
Illustrated selected images from the study, with annotations to illustrate key findings:
- dashed blue arrow refers to the communication between upper calyx and the urinoma
- solid red arrows refer to the presacral hematoma
- green circle shows the fracture right ala with a small bony fragment