Robot-assisted laparoscopic pyeloureterostomy for ureteropelvic junction rupture sustained in a traffic accident: A case report

Figure 1 The right adrenal gland was initially thought to be ruptured, with hemorrhage observed in the right perirenal space on a contrast-enhanced abdominopelvic computed tomography scan.

Figure 2 Urine leakage and urinoma with hydronephrosis were observed 3 wk later on a contrast-enhanced abdominopelvic computed tomography scan.

Figure 3 A ureteropelvic junction rupture was revealed by antegrade pyelography. Discontinuity of the ureter was confirmed by retrograde pyelography and antegrade pyelography.

Figure 4 The ureter and renal pelvis were completely separated. There was no hole in the renal pelvis.

Figure 5 A new incision was made in the renal pelvis to allow anastomosis of the ureter.

Figure 6 Image showing good contrast flow through the stent without leakage.

Figure 7 There were no specific findings other than mild renal pelvis dilatation on a contrast-enhanced abdominopelvic computed tomography scan. Delayed excretion and pelvocalyceal retention of contrast medium in the right kidney, and a rapid response to Furosemide were revealed by renal scintigraphy.