Pelvic abscess after urostomy

Case contributed by Dr Bruno Di Muzio

Presentation

Resection of the prostate and bladder due to neoplasia. Persistent fever and pelvic pain.

Patient Data

Age: 70
Gender: Male
CT

CT Abdomen and pelvis (selected images)

It is possible to identify a urostomy procedure, where both ureters are anastomosed with a ileal segment that is externalised on the abdominal wall (stoma). Near to anastomosis and occupying the anterior pelvis there is a abscess with gas bubbles within (about 120 ml).  

Annotated image

Diagram to undertand a urostomy surgery

Annotated images depicting the findings. 

Case Discussion

Surgical complication: pelvic abscess

Bladder and prostate resection. Urostomy procedure, where both ureters are anastomosed with a ileal segment that is externalized on abdominal wall (stoma). 

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Case information

rID: 23445
Case created: 16th Jun 2013
Last edited: 9th Sep 2015
System: Urogenital
Inclusion in quiz mode: Included

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