PMC6525288_01
Abdominal and pelvic ultrasound showing marked ascites.
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Abdominal and pelvic ultrasound showed marked ascites (Fig. 1), normal both kidneys with no hydronephrosis.
Percutaneous pigtail drain at the right lower abdomen.
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A trial of diagnostic and therapeutic ascitic fluid drainage was performed by putting a percutaneous 12 French pigtail catheter in the right lower abdomen under ultrasonic guidance (Fig. 2).
Cystoscopic view of a small perforation at the posterior wall of bladder.
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Through cystoscopy, we detected a perforation at the posterior wall of the bladder (Fig. 3), while both ureters were normal.
Retrograde cystography showing no contrast extravasation. (A) Filling phase, (B) Voiding (C) Post voiding film.
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Two weeks later voiding cystography was performed which showed no more leak (Fig. 4) and the Foley catheter was removed.