Presentation
Two weeks post hemicolectomy and partial cystectomy for rectal carcinoma.
Patient Data
Age: 70 years
Gender: Male
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Technique: Retrograde instillation of 80mL 50% Omnipaque 300 via existing IDC in an aseptic manner.
Findings:
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.
Conclusion:
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.