Magnetic resonance imaging to detect vesico-symphyseal fistula following robotic prostatectomy
Int. braz. j. urol
; 39(2): 288-290, Mar-Apr/2013. graf
Article
em En
| LILACS
| ID: lil-676253
Biblioteca responsável:
BR1.1
ABSTRACT
Pubic complications following radical prostatectomy are rare. Osteitis pubis typically presents with symptoms related to irritation of the pubic rami including pain with ambulation and adduction of the leg. A 60-year-old male with prostatic adenocarcinoma underwent uneventful robotic assisted laparoscopic prostatectomy. The patient noted the onset of severe pubic pain exacerbated by ambulation approximately one month post-surgery. An abdominal/pelvic CT scan was negative for acute pathology. Due to continued discomfort, a multiplanar MRI of the pelvis was performed with and without intravenous contrast material (20 ml Omniscan). The MRI demonstrated irregularity of the bladder base and proximal urethra with a fistulous tract extending anteriorly in direct communication with the pubic symphysis joint space. Vague periarticular marrow edema-like signal and enhancement at the pubic symphysis was thought to represent osteitis pubis. The patient's symptoms resolved after one month of urethral catheter drainage, intravenous antibiotics, and anti-inflammatory therapy.
Texto completo:
1
Base de dados:
LILACS
Assunto principal:
Prostatectomia
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Sínfise Pubiana
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Doenças Ósseas
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Imageamento por Ressonância Magnética
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Fístula da Bexiga Urinária
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Fístula
Limite:
Humans
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Male
Idioma:
En
Ano de publicação:
2013
Tipo de documento:
Article