Fluid Collections
l Post- operative hematomas- appearance
depends upon chronicity.
l Urine leaks or urinomas-  due to anastomotic
leaks or ureteric ischemia.  Appear well
defined, anechoic with occasional
hydronephrosis.  May use radionuclide
imaging to confirm nature of collection
l Lymphoceles- occur 4 – 8 weeks after
surgery in 15%.  May obstruct ureter or
veins.  Appear well defined and either
anechoic or with fine septations.