Delayed Rupture of the Renal Collecting System Secondary to a Traumatic Hemorrhage in the Setting of Suspected Chronic Ureteropelvic Junction Obstruction

Authors

  • Siddharth Rode
  • Ashaki Patel
  • Joseph Garrity
  • Robert Garrett

DOI:

https://doi.org/10.3941/jrcr.v14i1.3067

Keywords:

Rupture, Renal Collecting System, Ureteropelvic Junction, Trauma, Hydronephrosis, Kidney, Computed Tomography

Abstract

Isolated rupture of the renal pelvis secondary to blunt trauma is rare, though there is increased incidence in the setting of a pre-existing renal abnormality that predisposes the kidney to injury. We report a case of post-traumatic hemorrhage into the renal collecting system leading to delayed rupture of the renal pelvis in the setting of suspected chronic ureteropelvic junction obstruction. This case illustrates the difficulty in diagnosis of acute hemorrhage into the renal collecting system. Special attention should be given to a kidney with a pre-existing abnormality in the setting of trauma to prevent complications. A literature review of hemorrhage into the collecting system along with appropriate imaging and management are discussed.

Author Biographies

Siddharth Rode

Siddharth Rode, MSIII

Saint Louis University School of Medicine

Ashaki Patel

Ashaki Patel, MD

Resident

Department of Dermatology

Medical College of Wisconsin

Joseph Garrity

Joseph Garrity, MD

Fellow, Breast Imaging Section

Department of Radiology

University of Utah

Robert Garrett

Robert Garrett, MD
Associate Professor, Department of Radiology
Saint Louis University School of Medicine

Published

2020-01-26

Issue

Section

Genitourinary Radiology