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Fig. 10 | Insights into Imaging

Fig. 10

From: Multidetector CT imaging of complications after laparoscopic nephron-sparing surgery

Fig. 10

A 69-year-old woman suffering from persistent pain and haematuria 10 days after right renal tumour resection had evidence of confined peri-renal haematoma (*) abutting the site of resection indicated by sutures (thin arrows) on unenhanced (a) CT. After conservative treatment repeated CT (b, c—note positioning of ureteral stent) the collection (*) showed decreased attenuation, appearance of non-dependent gas bubbles (thin arrows) and rim-like enhancement (arrow in c) suggesting infection. Abscessualisation (*) was confirmed by significant size increase despite antibiotic treatment at follow-up CT (d, e) with persistent peripheral enhancement, by appearance of oedematous inflammatory thickening of the ipsilateral abdominal wall (+), and was relieved by percutaneous drainage (f)

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