Pelvic abscess after urostomy

Case contributed by Bruno Di Muzio
Diagnosis certain

Presentation

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

Patient Data

Age: 70
Gender: Male

CT A/P

ct

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).  

Diagram of a urostomy surgery

Annotated image

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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