Urinoma following prostatectomy

Case contributed by Dr Chris O'Donnell

Presentation

Recent prostatectomy with clear fluid leaking from the abdominal wound

Patient Data

Age: 75
Gender: Male
CT

Plain CT followed by CT cystogram (dilute contrast injected via the urethral catheter)

Large fluid collections sitting in front of and behind the bladder.  Bladder is collapsed with a urethral catheter in situ (and balloon in lumen).   Contrast injected into the urethral catheter fills the bladder (extrinsically compressed by the collections) and leaks posteriorly into these collections via a defect in the prostatectomy cavity at the bladder base (thus these collections are urinomas).

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Case information

rID: 42495
Case created: 23rd Jan 2016
Last edited: 23rd Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

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