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Favorable Outcome of Conservative Management of Extensive Bladder Ischemia Complicating Prostatic Artery Embolization

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Abstract

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.

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Authors and Affiliations

  1. Radiology Department, General Hospital “Tzanio”, Zanni & Afentouli 1 Street, 18536, Piraeus, Greece

    Hippocrates Moschouris & Ioannis Kornezos

  2. Urology Department, General Hospital “Tzanio”, Zanni & Afentouli 1 Street, 18536, Piraeus, Greece

    Konstantinos Stamatiou

  3. Radiology Department, Anticancer Hospital “Agios Savvas”, Alexandra’s Avenue 171, 11522, Athens, Greece

    Victoria Kartsouni

  4. 2nd Department of Radiology, University of Athens, “Attikon” Hospital, Rimini 1 Street, Chaidari, 12462, Athens, Greece

    Katerina Malagari

Authors
  1. Hippocrates Moschouris
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  2. Konstantinos Stamatiou
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  3. Ioannis Kornezos
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  4. Victoria Kartsouni
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  5. Katerina Malagari
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Correspondence to Hippocrates Moschouris.

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Conflict of interest

Hippocrates Moschouris, Konstantinos Stamatiou, Ioannis Kornezos, Victoria Kartsouni and Katerina Malagari have no conflict of interest to disclose.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from the patient included in the study.

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Moschouris, H., Stamatiou, K., Kornezos, I. et al. Favorable Outcome of Conservative Management of Extensive Bladder Ischemia Complicating Prostatic Artery Embolization. Cardiovasc Intervent Radiol 41, 191–196 (2018). https://doi.org/10.1007/s00270-017-1774-2

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  • DOI: https://doi.org/10.1007/s00270-017-1774-2

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