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Rupture of a Ureteropelvic Junction—Obstructed Kidney in a 15-Year-Old Football Player

Martin Smith1, Brian Johnston2, Hunter Wessells3 and Lee Talner1

1 Department of Radiology, Harborview Medical Center, University of Washington School of Medicine, 325 Ninth Ave., Box 359728, Seattle, WA 98104-2499.
2 Department Pediatrics, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA 98104.
3 Department Urology, Harborview Medical Center, University of Washington School of Medicine, Seattle, WA 98104.



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  		Fig. 1A. —15-year-old male football player with rupture of preexisting hydronephrotic kidney. Contrast-enhanced CT scan obtained during excretion phase shows laceration through thinned parenchyma (arrow) of lower left kidney. Excreted contrast agent settles dependently into dilated calyces. Note urinoma anterior to kidney.

 


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  		Fig. 1B. —15-year-old male football player with rupture of preexisting hydronephrotic kidney. Contrast-enhanced CT scan, obtained during same phase as A, at mid kidney shows slightly collapsed but intact left renal pelvis (arrowheads), large urinoma displacing intestines to right and surrounding main renal vein (arrow).

 


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  		Fig. 1C. —15-year-old male football player with rupture of preexisting hydronephrotic kidney. Contrast-enhanced CT scan obtained during excretion phase 9 days after placement of ureteral stent (arrow) shows resolution of urinoma, increased contrast excretion compared with A, and no extravasation.

 

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