Choksi Ankur, Press Benjamin, Nawaf Cayce, Longyear Shannon, Ferrante Marc, Martin Thomas V
Department of Urology, Yale University School of Medicine, New Haven, CT, USA.
Department of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USA.
Case Rep Urol. 2021 Sep 23;2021:2060572. doi: 10.1155/2021/2060572. eCollection 2021.
Intraoperative imaging for endourologic procedures is generally limited to single-plane fluoroscopic X-ray. The O-arm™ is a mobile cone-bean CT scanner that may have applications in urologic surgeries. . We present a case of an 85-year-old male with radiation cystitis and recurrent gross hematuria who was identified to have a bladder perforation on cystoscopy during emergent clot evacuation. Single-view fluoroscopic evaluation was inconclusive as to whether an intraperitoneal bladder perforation occurred. A portable cone-beam CT scan was used to acquire a 3-D CT cystogram, which demonstrated intraperitoneal contrast extravasation, confirming the diagnosis of an intraperitoneal bladder perforation.
We report the first use of a portable cone-beam CT scanner to perform an intraoperative CT cystogram to diagnose an intraperitoneal bladder perforation and guide surgical management.
腔内泌尿外科手术的术中成像通常局限于单平面荧光透视X线检查。O-arm™是一种移动锥形束CT扫描仪，可能在泌尿外科手术中具有应用价值。我们报告一例85岁男性，患有放射性膀胱炎和反复肉眼血尿，在急诊血块清除术期间膀胱镜检查发现膀胱穿孔。单视图荧光透视评估对于是否发生腹膜内膀胱穿孔尚无定论。使用便携式锥形束CT扫描获取三维CT膀胱造影，显示腹膜内造影剂外渗，证实腹膜内膀胱穿孔的诊断。
我们报告首次使用便携式锥形束CT扫描仪进行术中CT膀胱造影，以诊断腹膜内膀胱穿孔并指导手术管理。
