PMC10181907_01
Coronal view from initial trauma pan-scan showing atraumatic kidneys, and hemoperitoneum is noted. Ureters not visualized due to lack of delayed phase.
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CT brain, cervical/thoracic/lumbar spine, and a CT angiogram of the neck, chest, abdomen, and pelvis. CT showed hemoperitoneum without evidence of solid organ injury (Figure 1).
Axial view of the recto-vesicular pouch abscess measuring approximately 8 cm x 4.6 cm, at its largest diameter.
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fig2
On CT of the abdomen with intravenous (IV) and oral contrast, he was found to have an 8 cm x 4.6 cm abscess in the recto-vesicular pouch (Figure 2).
Posteroanterior view of left nephrogram showing an 8 cm mid-ureter stricture and no evidence of contrast extravasation.
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fig3
A left pyelogram was then performed by IR that showed an 8 cm mid-ureteral stricture and no extravasation (Figure 3).