Presentation
Abdominal distension and pain a few days after the cesarian section.
Patient Data
The left ureter is normally opacified up to the S3 level, after this, the ureter shows abnormal communication with a large, fluid-density, pelvi-abdominal collection. Abnormal excretion of contrast media is seen in the dependent part of the above-mentioned collection, with non-visualized most distal part of the left ureter.
The right ureter is normally, traceable, up to the UV junction.
The urinary bladder is normally opacified through the right ureter.
Both kidneys are unremarkable.
Case Discussion
CT features along with the recent history of surgery are suggestive of iatrogenic left-sided ureteric injury with a large urinoma formation.