Ag. Wilkinson et al., Separation of renal fragments by a urinoma after renal trauma: percutaneous drainage accelerates healing, PEDIAT RAD, 29(7), 1999, pp. 503-505
Background. Two boys suffered blunt abdominal trauma resulting in renal inj
ury. In both cases the damaged kidney was fractured through its mid-portion
, and the upper and lower fragments of the kidney became widely separated b
y a urinoma.
Materials and Methods. US-guided drainage of the urinoma resulted in immedi
ate apposition of the renal fragments. The drains were left on free drainag
e 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 fragme
nts should be considered since this may accelerate healing and help preserv
e renal function.