EURORAD ESR

Case 9077

Urachal abscess in a young man

Author(s)
Battaglia V, Grigolini A, Calcagni F, Desideri I, Bartolozzi C
 
Patient
male, 21 year(s)
 
 
  • Figure 1
    Fig. 1

    Figure 1 shows the presence of a inhomogeneous collection, located above the antero-superior wall of the bladder. Collection margins are irregular and the content presents some fluid portions.

     
     
     
  • Figure 2
    Fig. 2

    Figure 2 demonstrates that the collection does not present signs of conspicuous vascularisation.

     
     
     
  • Figure 3
    Fig. 3

    CT examination confirmed the presence of the suspected collection, whose lower margin was not clearly cleavable from the bladder. The superior margin was located at the level of the umbilicus.

     
     
     
  • Figure 4
    Fig. 4

    Axial baseline CT images showed clear signs of peritoneum inflammatory reaction all around the collection, that presented inhomogeneous content and small air bubbles within.

     
     
     
  • Figure 5
    Fig. 5

    Control CT study 1 week after antibiotic therapy showed the reduction of collection dimensions, as well as the colliquation of collection content, previously clearly solid.

     
     
     
  • Figure 6
    Fig. 6

    Axial post-contrast CT acquisitions showed the mild enhancement of the collection walls as well as the reduction of signs of peritoneal inflammatory reaction.

     
     
     
Figure 1 shows the presence of a inhomogeneous collection, located above the antero-superior wall of the bladder. Collection margins are irregular and the content presents some fluid portions.
 
Figure 2 demonstrates that the collection does not present signs of conspicuous vascularisation.
 
CT examination confirmed the presence of the suspected collection, whose lower margin was not clearly cleavable from the bladder. The superior margin was located at the level of the umbilicus.
 
Axial baseline CT images showed clear signs of peritoneum inflammatory reaction all around the collection, that presented inhomogeneous content and small air bubbles within.
 
Control CT study 1 week after antibiotic therapy showed the reduction of collection dimensions, as well as the colliquation of collection content, previously clearly solid.
 
Axial post-contrast CT acquisitions showed the mild enhancement of the collection walls as well as the reduction of signs of peritoneal inflammatory reaction.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version