Case 8.3

Author(s):  
Christine U. Lee ◽  
James F. Glockner

80-year-old woman with dysuria and urinary retention Axial fat-suppressed FSE T2-weighted image (Figure 8.3.1) and coronal (Figure 8.3.2) and sagittal (Figure 8.3.3) FSE T2-weighted images demonstrate a large, lobulated periurethral cystic lesion adjacent to the posterior lateral margin of the urethra and slightly displacing the course of the urethra. Note the Foley catheter in the urethra and bladder....

Author(s):  
Christine U. Lee ◽  
James F. Glockner

57-year-old asymptomatic woman with a pelvic mass palpated during routine physical examination Axial fat-suppressed FSE T2-weighted images (Figure 11.10.1) reveal a large cystic lesion in the pelvis, with a partial septation anteriorly. Coronal FSE T2-weighted image (Figure 11.10.2) shows similar findings. An axial FSE T1-weighted image (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

74-year-old man with a penile prosthesis and a new enlargement and discomfort of the right penile shaft Sagittal fat-suppressed FSE T2-weighted image (Figure 12.7.1) through the right corporus cavernosum demonstrates fluid surrounding the cylinder of the penile prosthesis. Note also the focal angulation at the base of the cylinder with discontinuity of the prosthesis components. Sagittal oblique postinflation FSE T2-weighted images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

72-year-old woman with vaginal bleeding Sagittal fat-suppressed FSE T2-weighted images (Figure 10.18.1) demonstrate an ill-defined mass in the endometrial cavity that extends into the myometrium of the uterine fundus superiorly and protrudes into the lower uterine segment. There are multiple round, T2-hypointense fibroids within the uterine body and fundus. Notice the bulky, heterogeneously enhancing mass centered in the vagina and extending anteriorly to encase the urethra and bladder base and abutting the rectum posteriorly. Axial FSE T2-weighted image through the inferior pelvis (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

69-year-old woman with a vaginal lesion noted on physical examination Axial FSE T2-weighted images without (Figure 10.3.1) and with (Figure 10.3.2) fat suppression obtained following instillation of vaginal US gel demonstrate a uniformly hypointense lesion along the right lateral margin of the vagina. Axial postgadolinium 3D SPGR image (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

23-year-old man with Crohn disease diagnosed at age 11 years, with large- and small-bowel involvement Axial fat-suppressed FSE T2-weighted images (Figure 9.26.1) reveal a horseshoe-shaped fluid collection along the posterior and right lateral margin of the anus that contains foci of gas. Note the small, faintly visualized communication with the lumen of the anus on the most inferior image. Coronal FSE T2-weighted images (...


2020 ◽  
Vol 48 (5) ◽  
pp. 030006052092454
Author(s):  
Ming Xu ◽  
Lu Jin ◽  
Yuxi Shan ◽  
Jin Zhu ◽  
Boxin Xue

Objective Urinary retention caused by bladder clots can be frustrating because such blood clots are difficult to remove. We established a novel technique in which hydrogen peroxide is applied to evacuate bladder clots. Methods In this single-center retrospective study, we evaluated 31 patients with retention of blood clots in the bladder who underwent emergency evacuation using hydrogen peroxide. Results The patients comprised 17 men and 14 women with mean age of 61.2 years (range, 42–82 years). Hydrogen peroxide solution and a 20-Fr three-cavity Foley catheter with large-diameter side holes were used for manual bladder irrigation in all patients. The bladder blood clots were successfully removed in 27 patients. The remaining four patients could not tolerate the symptoms of urinary retention and had to resort to surgery. Conclusion Hydrogen peroxide solution for manual bladder irrigation can improve the efficiency of bladder blood clot evacuation. This is a simple and effective option for managing bladder clot retention.


2019 ◽  
Vol 34 (8) ◽  
pp. 1431-1443 ◽  
Author(s):  
Ken Imaizumi ◽  
Yuichiro Tsukada ◽  
Yoshinobu Komai ◽  
Shogo Nomura ◽  
Koji Ikeda ◽  
...  

Author(s):  
Christine U. Lee ◽  
James F. Glockner

52-year-old woman with an enlarging mass in her lower abdomen Axial FSE T1-weighted image (Figure 14.12.1) and fat-suppressed T2-weighted images (Figure 14.12.2) reveal a large pelvic mass that is mildly hypointense relative to skeletal muscle on the T1-weighted image and heterogeneously hyperintense on the T2-weighted images with a region of focal scarring anteriorly. Axial postgadolinium 2D SPGR images (...


Author(s):  
Christine U. Lee ◽  
James F. Glockner

40-year-old woman with previously resected ileal gastrointestinal stromal tumor; CT performed for postoperative surveillance demonstrated a complex mass in the pelvis Axial FSE T2-weighted images (Figure 14.7.1) and sagittal fat suppressed FSE images (Figure 14.7.2) demonstrate a complex cystic lesion posterior to the rectum. There is a large dominant cyst with additional adjacent smaller cysts. Axial postgadolinium 3D SPGR images (...


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