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Insights into Imaging
Fig. 8 | Insights into Imaging

Fig. 8

From: Multi-modality organ-based approach to expected imaging findings, complications and recurrent tumour in the genitourinary tract after radiotherapy

Fig. 8

A 63-year-old man with prostatic carcinoma, originally treated with brachytherapy followed by salvage external RT for locally recurrent tumour. Consecutive CECT axial images (a and b) demonstrate a complex fistula between the rectum and urinary bladder (a) and more inferiorly between the rectum and the urethra (b) from prior RT. Initial management for this patient consisted of urinary diversion with bilateral nephrostomy tubes (not shown). Surgery was subsequently attempted, but after total prostatectomy was performed, the complex fistulous disease could not be repaired

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