30-year-old female patient:
– With cervical cancer
– Recent hysterectomy with bilateral adnexectomy and pelvic lymphadenectomy
– Urinary tract infection with pyuria
– Persistent pelvic fluid collection between the vaginal stump and rectum (asterisk)
– Contrast-enhanced CT (portal venous phase) shows the right ureter merging with the collection (arrow)
What should be done next?
What should be done next?
Scan in the excretory (urographic) phase
*Usually performed 10 minutes after contrast injection, but useful even if done a couple of hours later (such as in this case)
What is the diagnosis?
What is the diagnosis?
Urinoma – iatrogenic
What should be the next step?
What should be the next step?
Urology consultation
Double-J ureteral stent was placed