Τίτλος:
Favorable Outcome of Conservative Management of Extensive Bladder Ischemia Complicating Prostatic Artery Embolization
Γλώσσες Τεκμηρίου:
Αγγλικά
Περίληψη:
This is a report of a case of bladder ischemia which complicated bilateral prostatic artery embolization in an 80-year-old man with benign prostate hyperplasia and indwelling bladder catheter. Reflux of 100 μm microspheres into superior vesical arteries was the most likely cause. An unenhanced computed tomography (CT) scan performed immediately post-embolization showed retention of contrast in the left anterolateral bladder wall. Five days later, CT showed gas collections and dehiscence of the bladder wall at the same site, involving an area of 47 × 42 mm. Treatment included prolonged (6 weeks) bladder catheterization and antibiotics. Partial resolution of the CT findings and 43% reduction in the prostatic volume were noted after that period; no leakage was detected on ascending cystogram, and the patient was capable of spontaneous micturition. © 2017, Springer Science+Business Media, LLC and the Cardiovascular and Interventional Radiological Society of Europe (CIRSE).
Συγγραφείς:
Moschouris, H.
Stamatiou, K.
Kornezos, I.
Kartsouni, V.
Malagari, K.
Περιοδικό:
CardioVascular and Interventional Radiology
Εκδότης:
Springer New York LLC
Λέξεις-κλειδιά:
antibiotic agent; ceforanide; norfloxacin; parecoxib; ranitidine; solifenacin; antiinfective agent, aged; arterial embolization; Article; bladder catheterization; bladder disease; bladder ischemia; case report; clinical article; clinical feature; cone beam computed tomography; conservative treatment; cystography; drug effect; human; male; micturition; outcome assessment; priority journal; prostate hypertrophy; prostate volume; prostatic artery embolization; very elderly; artificial embolization; bladder; complication; diagnostic imaging; indwelling catheter; ischemia; pathology; procedures; prostate hypertrophy; treatment outcome; x-ray computed tomography, Aged, 80 and over; Anti-Bacterial Agents; Catheters, Indwelling; Conservative Treatment; Embolization, Therapeutic; Humans; Ischemia; Male; Prostatic Hyperplasia; Tomography, X-Ray Computed; Treatment Outcome; Urinary Bladder; Urinary Catheterization
DOI:
10.1007/s00270-017-1774-2
