title: Prostate Brachytherapy seed migration to the Bladder presenting with Gross Hematuria.
abstract: We present the radiologic findings in a case of prostate brachytherapy seed migration to the bladder presenting as gross hematuria. While prostate brachytherapy seed implantation is considered a relatively safe procedure, migration is not uncommon; however, it is usually clinically silent and the seeds most commonly migrate to the lungs through the venous circulation via the periprostatic venous plexus. Our case illustrates that local erosion is possible, can be symptomatic, and therefore must be considered when evaluating select patients.
authors.affiliation: Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, MD, USA.
authors.forename: Reham R
authors.initials: RR
authors.lastname: Haroun
authors.affiliation: Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, MD, USA.
authors.forename: John W
authors.initials: JW
authors.lastname: Nance
authors.affiliation: Russell H. Morgan Department of Radiology and Radiological Science, The Johns Hopkins Hospital, Baltimore, MD, USA.
authors.forename: Elliot K
authors.initials: EK
authors.lastname: Fishman
mesh_terms: D000368:Aged; D001918:Brachytherapy / Q000009:adverse effects*; D005548:Foreign-Body Migration / Q000000981:diagnostic imaging / Q000209:etiology*; D006417:Hematuria / Q000000981:diagnostic imaging / Q000209:etiology*; D006801:Humans; D008297:Male; D011471:Prostatic Neoplasms / Q000532:radiotherapy*; D014057:Tomography, X-Ray Computed / Q000379:methods; D001743:Urinary Bladder
keywords: 3-D Computed tomography; Prostate cancer; brachytherapy; hematuria; seed migration