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UPA Perpustakaan Universitas Jember

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

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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 lm micro-
spheres into superior vesical arteries was the most likely
cause. An unenhanced computed tomography (CT) scan
performed immediately post-embolization showed reten-
tion 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 9 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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