{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,11]],"date-time":"2026-04-11T05:44:19Z","timestamp":1775886259699,"version":"3.50.1"},"reference-count":35,"publisher":"MDPI AG","issue":"8","license":[{"start":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T00:00:00Z","timestamp":1775692800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Diagnostics"],"abstract":"<jats:p>Background and Clinical Significance: Retroperitoneal urinomas are uncommon complications that can arise following trauma, particularly in the context of congenital anomalies such as pyeloureteral duplication. These conditions pose significant diagnostic and therapeutic challenges, requiring a comprehensive and multidisciplinary approach to ensure optimal patient outcomes. Case Presentation: Here, we report the case of a 22-year-old male who presented to the emergency department with right lumbar and flank pain, nausea, and abrasions following a fall from a height. Initial imaging revealed a right-sided retroperitoneal urinoma and a rare congenital anomaly: complete pyeloureteral duplication with the upper pole draining into the right seminal vesicle. The patient underwent two surgical interventions, including the insertion of a ureteral stent and reimplantation of the ureter using a latero-terminal U trans U technique. Conclusions: This case highlights the complexity of managing traumatic retroperitoneal urinomas associated with congenital anomalies such as complete pyeloureteral duplication. It emphasizes the importance of timely surgical intervention to prevent complications and improve patient outcomes.<\/jats:p>","DOI":"10.3390\/diagnostics16081132","type":"journal-article","created":{"date-parts":[[2026,4,9]],"date-time":"2026-04-09T12:21:32Z","timestamp":1775737292000},"page":"1132","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Dual Challenges: Addressing Post-Traumatic Retroperitoneal Urinoma in the Context of Pyeloureteral Duplication"],"prefix":"10.3390","volume":"16","author":[{"given":"Marius Doru","family":"Stan","sequence":"first","affiliation":[{"name":"Department of Urology, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Irina","family":"Vlase","sequence":"additional","affiliation":[{"name":"Faculty of General Medicine, \u201cOvidius\u201d University, 900470 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Emma","family":"Gheorghe","sequence":"additional","affiliation":[{"name":"Faculty of General Medicine, \u201cOvidius\u201d University, 900470 Constanta, Romania"},{"name":"Department of Dermato-Venerology, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogdan Alexandru","family":"Georgescu","sequence":"additional","affiliation":[{"name":"Faculty of General Medicine, \u201cOvidius\u201d University, 900470 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dragos","family":"Fasie","sequence":"additional","affiliation":[{"name":"Department of Hemodialysis, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mihaela","family":"Botnarciuc","sequence":"additional","affiliation":[{"name":"Faculty of General Medicine, \u201cOvidius\u201d University, 900470 Constanta, Romania"},{"name":"Department of Blood Transfusions, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lucian-Flavius","family":"Herlo","sequence":"additional","affiliation":[{"name":"Doctoral School, \u201cVictor Babes\u201d University of Medicine and Pharmacy, 300041 Timisoara, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ionut Ciprian","family":"Iorga","sequence":"additional","affiliation":[{"name":"Department of Urology, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Felix","family":"Voinea","sequence":"additional","affiliation":[{"name":"Department of Urology, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-5872-4381","authenticated-orcid":false,"given":"Andreea","family":"Nelson Twakor","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, County Clinical Emergency Hospital of Constanta, 900647 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Bogdan","family":"Cimpineanu","sequence":"additional","affiliation":[{"name":"Department of Blood Transfusions, County Clinical Emergency Hospital of Constanta, 900591 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Iulian Catalin","family":"Bratu","sequence":"additional","affiliation":[{"name":"Faculty of General Medicine, \u201cOvidius\u201d University, 900470 Constanta, Romania"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1968","published-online":{"date-parts":[[2026,4,9]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"6","DOI":"10.1186\/1757-7241-18-6","article-title":"A review of ureteral injuries after external trauma","volume":"18","author":"Pereira","year":"2010","journal-title":"Scand. 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