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Which retroperitoneal finding is most likely associated with trauma?
Suggested Answer: C
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Urinomas are collections of urine in the retroperitoneum that result from trauma, surgery, or obstruction causing urine leakage. Trauma is a frequent cause of urinoma formation due to disruption of the urinary tract.
According to Rumack's Diagnostic Ultrasound:
''Urinomas may develop as a complication of trauma, surgery, or obstructive uropathy with urinary extravasation into the retroperitoneum.''
Rumack CM, Wilson SR, Charboneau JW, Levine D. Diagnostic Ultrasound. 5th ed. Elsevier, 2017.
AIUM Practice Parameter for Renal Ultrasound, 2020.
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30 comments · newest first
LU
Luisa
6 months ago
But fibrosis isn't directly linked to trauma like urinoma is.
DI
Dion
6 months ago
I feel like B) Fibrosis could be a trick option.
QU
Quentin
6 months ago
Definitely C) Urinoma. It's a common post-trauma finding.
AN
Annelle
7 months ago
I'm torn between C and A. Neuroblastoma is rare though.
MI
Mira
7 months ago
Agreed! Urinoma makes sense after an injury.
TR
Tresa
7 months ago
I think it's C) Urinoma. Trauma can cause urine leaks.
KA
Karina
8 months ago
I didn't know Urinoma was linked to trauma like that!
MA
Marti
8 months ago
C is the most common, no doubt!
MA
Maia
8 months ago
Wait, are we sure about that? Sounds off.
SH
Sharmaine
8 months ago
C) Urinoma is the way to go. Trauma is most likely to cause a leak or collection of urine in the retroperitoneal space.
MA
Magnolia
8 months ago
Haha, I bet the answer is C) Urinoma. That's the only one that doesn't sound like a fancy name for a medical condition.
LA
Lai
8 months ago
I'm going with C) Urinoma. It's the only option that seems directly related to a traumatic injury in the retroperitoneal area.
RU
Rueben
9 months ago
Definitely C) Urinoma. Trauma can cause a rupture in the urinary system, leading to a urinoma in the retroperitoneal space.
CH
Cherelle
9 months ago
I’m really unsure about this one. Neuroblastoma doesn’t seem like it fits with trauma, but I could be wrong.
AN
Anastacia
9 months ago
I’m leaning towards urinoma as the answer, but I’m not confident. Fibrosis seems more chronic, right?
LE
Lenita
9 months ago
I feel like we practiced a question similar to this, and I think it was about retroperitoneal hematomas being associated with trauma.
AL
Alex
9 months ago
I feel pretty confident about this one. Retroperitoneal trauma often leads to urine leakage and the formation of a urinoma. That's gotta be the best answer here.
AR
Arlyne
9 months ago
Okay, let's see. Neuroblastoma and adenoma are tumors, so those are less likely. Fibrosis is more of a chronic process. I'm going to go with C) urinoma.
CH
Cherry
10 months ago
I think the answer is C) Urinoma. That makes the most sense for a retroperitoneal finding related to trauma.
JO
Jose
10 months ago
I'm a bit confused on this one. I know trauma can cause fluid collections, but I'm not sure which one is most likely. Gonna have to review my notes.
AL
Alyce
10 months ago
I thought it was A) Neuroblastoma?
OD
Odette
10 months ago
Definitely C) Urinoma. Trauma-related for sure.
HE
Herminia
10 months ago
I think I remember something about urinomas being linked to trauma, but I'm not entirely sure.
KA
Kayleigh
11 months ago
Urinoma, definitely. That's got to be the most likely traumatic finding in the retroperitoneal space.
AB
Abraham
11 months ago
Hmm, this seems like a tricky one. I'll need to think carefully about the retroperitoneal anatomy and common traumatic injuries.
VO
Vonda
5 months ago
I agree, C) Urinoma makes the most sense here.
ME
Mee
5 months ago
Definitely, trauma usually leads to urinomas.
YV
Yvonne
6 months ago
B) Fibrosis seems less likely, right?
ED
Edna
6 months ago
Really? I was leaning towards A) Neuroblastoma.
VI
Vincenza
6 months ago
I think it's C) Urinoma.