Presentation
Patient developed a large left flank collection after large oncologic pelvic surgery that removed uterus, adnexa and part of colon. No other symptoms. The collection was drained percutaneously (images of procedure not available) and confirmed as urinoma.
Patient Data
CT scan shows a small fluid collection next to left distal ureter, near where it crosses the iliac vessels, and a mild left ureterohydronephrosis. On the delayed scan its possible to confirm a visible small injury of 2.5 mm that communicate the ureter to this fluid collection and continues with drained area (urinoma).
CT scan shows a small fluid collection next to left distal ureter, near where it crosses the iliac vessels, and a mild left ureterohydronephrosis. On the delayed scan its possible to confirm a visible small injury of 2.5 mm that communicate the ureter to this fluid collection and continues with drained area.
Case Discussion
The CT confirms a iatrogenic left ureteral injury.
It is known that the risk of injury is significantly higher in surgeries involving invasive cancer, like in this patient.
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