Bilateral pelvic urinomas following ureteral injury from surgery: lymphocele look-alikes on computed tomography.
Postoperative fluid collections are a not-infrequent finding on computed tomography (CT), and their causes are numerous. One of the more rare etiologies is a urinoma resulting from a ureteral injury. Such an injury is one of the most serious complications of abdominal, mainly gynecological, surgery. This complication is often clinically unsuspected, as symptoms are nonspecific and the patient may present weeks and even months after the injury. We present a patient in whom clinically unsuspected bilateral pelvic urinomas were diagnosed on a baseline CT 8 weeks after radical hysterectomy. We want to emphasize the crucial role of CT, especially with delayed scanning, in reaching this diagnosis.
Gayer
Gabriela
G
Department of Diagnostic Imaging, Assaf Harofeh Medical Center, Zrifin, 70300, Israel. gayer@post.tau.ac.il
Halperin
Reuvit
R
Vasserman
Margarita
M
Siegel
Yoram
Y
D005260:Female; D006801:Humans; D007044:Hysterectomy; D008210:Lymphocele / Q000000981:diagnostic imaging*; D008875:Middle Aged; D010388:Pelvis; D011183:Postoperative Complications / Q000000981:diagnostic imaging*; D013997:Time Factors; D014057:Tomography, X-Ray Computed; D014513:Ureter / Q000293:injuries*; D014556:Urine