Bladder leak post partial cystectomy

Case contributed by Henry Knipe
Diagnosis certain


Two weeks post hemicolectomy and partial cystectomy for rectal carcinoma.

Patient Data

Age: 70 years
Gender: Male

Retrograde cystogram


Technique: Retrograde instillation of 80mL 50% Omnipaque 300 via existing IDC in an aseptic manner.


Extra-vesical contrast is seen at the superior aspect of the bladder, directed towards but not reaching the anastomotic sutures. Minor reflux of contrast in the distal left ureter.


Bladder leak from superior aspect. 

Case Discussion

Partial cystectomy is indicated as bladder-sparing surgery for a wide range of benign conditions and there is increasing evidence for its routine use for malignant conditions. No increased complications are reported compared to other laparoscopic urological procedures. 

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.