Violeta Gonzalez Mendez MD, Presenter: Nothing to Disclose

Alicia Merina MD, Abstract Co-Author: Nothing to Disclose

Virginia Navarro Cutillas, Abstract Co-Author: Nothing to Disclose

Alberto Arnaiz Martinez MD, Abstract Co-Author: Research Consultant, Novartis AG

Elena Martinez Chamorro, Abstract Co-Author: Nothing to Disclose

The main purpose of this study is to describe the best MDCT technique in order to evaluate the various complications found in early and late follow-up of patients who previously underwent urinary diversion. Other minor goals are to describe the main diversion procedures and to analyze the major complications.

Introduction Approach to the three most common types of urinary diversion. Overview of the MDCT technical procedure: Do we need a phase without contrast injection? When do we need it? When is oral contrast material needed? Could and under what circumstances we do benefit from the split-bolus injection? How can we achieve an optimal excretory phase? Classification of complications according to the time of onset, highlighting the possible peculiarities in MDCT technique depending on the type of complication suspected. Early (< 30 days after surgery): Bowel: adynamic ileus, mechanical obstruction, anastomotic leak. Infectious: pyelonephritis. Postsurgical fluid collections. Urinary tract complications (anastomotic leak, obstruction, fistulas) Stomal o conduit ischemia. Wound Late Infection Calculi Ureteral stenosis Tumor recurrence Stomal / conduit : retraction, prolapse, stenosis. Herniation  

http://abstract.rsna.org/uploads/2014/14003291/14003291_412u.pdf

Gonzalez Mendez, V, Merina, A, Navarro Cutillas, V, Martinez, A, Martinez Chamorro, E, Urinary Diversion: A MDCT Technical Challenge — How to Establish the Most Accurate Procedure in Order to Assess the Main Post-surgical Complications.  Radiological Society of North America 2014 Scientific Assembly and Annual Meeting, - ,Chicago IL. http://archive.rsna.org/2014/14003291.html