Man
62 yo, one month after robotic prostatectomy by prostatic carcinoma
(PC) stage I, pain in mictation.
US scan at pubis detected
2 cystic masses look like double urinary bladder (US 1, transverse
scan ).
US 2: scan at
left cystic mass , size of 4
cm, thickening of border and septation.
US 3: longitudinal
scan at central cystic mass, it is urinary bladder.
US 4: left pelvis mass and iliac artery.
Report of sonologist
is double urinary bladder.
MSCT with CE of
urinary system= CT 1, CT 2 non CE showed HU units at 2 masses are
different 15.8 and 10.2 UI.
CT 3 = contrast
filling of the central mass is
urinary bladder and left mass is not enhanced.
CT4 : 3D C
T of urinary system.
Puncture of this cyst for removing fluid which is yellowish. Results of analysis of its contence : urea
4.8mmol/L,
4.8mmol/L,
creatinine 0.0741mmol/L.
So it is lymphatic fluid. Now operation for drainage.
So it is lymphatic fluid. Now operation for drainage.
Conclusion: it is lymphocele post prostatectomy and lymphoadenectomy.
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