Fig. 8
From: Multidetector CT imaging of post-robot-assisted laparoscopic radical prostatectomy complications
Intraperitoneal urine leak in a 68-year-old patient with oliguria, abdominal pain and distension, severe renal impairment (3.2 mg/dl creatinine) 8 days after RALRP. Initial unenhanced MDCT shows the urinary bladder appeared contracted with a Foley catheter in place (arrowheads), water-attenuation ascites (*) and minimal fluid (+) anteriorly to the surgical bed without abnormal blood or abscess collections. Five days later, with improved renal function during conservative treatment, CM-enhanced MDCT urography (c, b) showed decreased peritoneal effusion, anterior VUA leak (thin arrow in c) causing prevesical iodinated urine collection and opacification of peritoneal effusion (arrows in d). The patient recovered after long-term positioning of bilateral ureteral stents and a Foley catheter