Magnetic resonance imaging to detect vesico-symphyseal fistula following robotic prostatectomy
AUTOR(ES)
Hutchinson, Ryan C., Thiel, David D., Bestic, Joseph M.
FONTE
Int. braz j urol.
DATA DE PUBLICAÇÃO
2013-04
RESUMO
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.
Documentos Relacionados
- Magnetic resonance imaging in patients with progressive myelopathy following spinal surgery.
- Magnetic resonance imaging in patients with progressive myelopathy following spinal surgery.
- Magnetic resonance imaging in patients with progressive myelopathy following spinal surgery.
- Magnetic resonance imaging.
- Nuclear magnetic resonance imaging