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Friday 9 December 2022

CASE 658: CYST of PROSTATE or FISTULA of INTERNAL ILIAC VESSLES, Dr PHAN THANH HAI, Dr LY VAN PHAI, Dr LE THANH LIEM, Dr HO KHANH DUC, MEDIC MEDICAL CENTER, HCMC, VIETNAM



A 67 year-old male patient is detected a small cyst of prostate on the right side by via abdominal ultrasound without any symptom. But on Doppler techniques the real one is a fistula of right internal iliac vessels.
The lesson is a cyst on B-mode may being a dilated vessel on Doppler investigation if sonographer does not apply the Doppler technique to watch a cystic structure.
MSCT and vascular surgery  [vessel collage] proved the  fistula of right internal iliac vessel.








On reexamination, next to the prostate on right side, Doppler ultrasound reveales a # 20x20x24 milimeter aneurysm with arterial low spectral waveform and venous waveform which means a fistula of internal iliac vessels.


MSCT confirms a fistula of the right internal iliac vessels.

An on-line investigation performs with an expert of Binh dan hospital, and this vascular surgeon makes his decision to solve the fistula by collage technique for it, via DSA in his hospital.


The aneurysm of right internal vessel is disappeared on screen while performing of vessel collage technique.



And it exists not any recurrent of right internal iliac fistula on the next 15 days.



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