- A 50-year-old man presented with a large urinoma (accumulation of extravasated urine) on the right side of his abdomen following a grade IV blunt renal trauma 1.5 months prior. - CT scan showed a large multi-septated urinoma measuring 20x20cm near the site of the previous renal injury. - In surgery, a capsule containing 3 liters of fluid was incised and drained through a retroperitoneal incision, treating the urinoma. Urinomas form when extravasated urine becomes encapsulated by fibrous tissue over time if not drained.