Man 62 yo, one month after robotic prostatectomy by prostatic carcinoma (PC) stage I, pain in mictation.
US scan at pubis detected 2 cystic masses look like double urinary bladder (US 1, transverse scan ).
US 2: scan at left cystic mass , size of 4 cm, thickening of border and septation.
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US 3: longitudinal scan at central cystic mass, it is urinary bladder.
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US 4: left pelvis mass and iliac artery.
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Report of sonologist is double urinary bladder.
MSCT with CE of urinary system= CT 1, CT 2 non CE showed HU units at 2 masses are different 15.8 and 10.2 UI.
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CT 3 = contrast filling of the central mass is urinary bladder and left mass is not enhanced.
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CT4 : 3D C T of urinary system.
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Puncture of this cyst for removing fluid which is yellowish. Results of analysis of its contence : urea
4.8mmol/L,
4.8mmol/L,
creatinine 0.0741mmol/L.
So it is lymphatic fluid. Now operation for drainage.
So it is lymphatic fluid. Now operation for drainage.
Conclusion: it is lymphocele post prostatectomy and lymphoadenectomy.