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Friday 28 October 2016

CASE 402 : DOUBLE URINARY BLADDER, Dr PHAN THANH HẢI, MEDIC MEDICAL CENTER, HCMC, VIETNAM


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,
creatinine 0.0741mmol/L.
 So it is lymphatic fluid. Now  operation for drainage.
Conclusion:  it is lymphocele  post prostatectomy and lymphoadenectomy.

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