Introduction; Urinoma is an accumulation of urine in the retroperitoneal area. It is caused by injuries to the kidneys, ureters, urinary bladder, or urethra. They may be confined, encapsulated fluid collections, or may manifest as free fluid.

Urine leaks have a variety of appearances.

This case describes a patient 27 years old, female presented at the emergency room with internal diseases with complaints of bloating and abdominal discomfort.

The history of the disease had begun three days before when she presented to the hospital with bloating that came increasing in quantity. She referred that five days ago gave birth to a child through transvaginal delivery.

For the woman was the first birth of a child. According to the patient’s own referral, her pregnancy was without problems but the birth lasted many hours.

There have been no previous health problems (confirmed by laboratory and imaging tests before pregnancy). There was a careful follow-up of the pregnancy. Except for an isolated case of a urinary tract infection, there was no other complication.

Further imaging revealed a large fluid in the pelvis and intraperitoneal. Treatment of this rare phenomenon is crucial for the delay in medical care can lead to an abscess, hydronephrosis, and electrolyte instability.

CT cystography and retrograde urethrographic are the diagnostic imaging studies of choice. In the appropriate setting, the use of these management options may reduce urinoma-related complications and limit or totally eliminate the need for urologic surgery.

Keywords: Urinoma, injuries, hydronephrosis, Childbirth