The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation
Background. Intraoperative imaging for endourologic procedures is generally limited to single-plane fluoroscopic X-ray. The O-arm™ is a mobile cone-bean CT scanner that may have applications in urologic surgeries. Case Presentation. We present a case of an 85-year-old male with radiation cystitis an...
Saved in:
| Main Authors: | , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Case Reports in Urology |
| Online Access: | http://dx.doi.org/10.1155/2021/2060572 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1849684776419590144 |
|---|---|
| author | Ankur Choksi Benjamin Press Cayce Nawaf Shannon Longyear Marc Ferrante Thomas V. Martin |
| author_facet | Ankur Choksi Benjamin Press Cayce Nawaf Shannon Longyear Marc Ferrante Thomas V. Martin |
| author_sort | Ankur Choksi |
| collection | DOAJ |
| description | Background. Intraoperative imaging for endourologic procedures is generally limited to single-plane fluoroscopic X-ray. The O-arm™ is a mobile cone-bean CT scanner that may have applications in urologic surgeries. Case Presentation. We present a case of an 85-year-old male with radiation cystitis and recurrent gross hematuria who was identified to have a bladder perforation on cystoscopy during emergent clot evacuation. Single-view fluoroscopic evaluation was inconclusive as to whether an intraperitoneal bladder perforation occurred. A portable cone-beam CT scan was used to acquire a 3-D CT cystogram, which demonstrated intraperitoneal contrast extravasation, confirming the diagnosis of an intraperitoneal bladder perforation. Conclusion. We report the first use of a portable cone-beam CT scanner to perform an intraoperative CT cystogram to diagnose an intraperitoneal bladder perforation and guide surgical management. |
| format | Article |
| id | doaj-art-ba160e42f4e84318811d2d104ce220ad |
| institution | DOAJ |
| issn | 2090-696X 2090-6978 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Urology |
| spelling | doaj-art-ba160e42f4e84318811d2d104ce220ad2025-08-20T03:23:22ZengWileyCase Reports in Urology2090-696X2090-69782021-01-01202110.1155/2021/20605722060572The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder PerforationAnkur Choksi0Benjamin Press1Cayce Nawaf2Shannon Longyear3Marc Ferrante4Thomas V. Martin5Department of Urology, Yale University School of Medicine, New Haven, CT, USADepartment of Urology, Yale University School of Medicine, New Haven, CT, USADepartment of Urology, Yale University School of Medicine, New Haven, CT, USADepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USADepartment of Radiology and Biomedical Imaging, Yale University School of Medicine, New Haven, CT, USADepartment of Urology, Yale University School of Medicine, New Haven, CT, USABackground. Intraoperative imaging for endourologic procedures is generally limited to single-plane fluoroscopic X-ray. The O-arm™ is a mobile cone-bean CT scanner that may have applications in urologic surgeries. Case Presentation. We present a case of an 85-year-old male with radiation cystitis and recurrent gross hematuria who was identified to have a bladder perforation on cystoscopy during emergent clot evacuation. Single-view fluoroscopic evaluation was inconclusive as to whether an intraperitoneal bladder perforation occurred. A portable cone-beam CT scan was used to acquire a 3-D CT cystogram, which demonstrated intraperitoneal contrast extravasation, confirming the diagnosis of an intraperitoneal bladder perforation. Conclusion. We report the first use of a portable cone-beam CT scanner to perform an intraoperative CT cystogram to diagnose an intraperitoneal bladder perforation and guide surgical management.http://dx.doi.org/10.1155/2021/2060572 |
| spellingShingle | Ankur Choksi Benjamin Press Cayce Nawaf Shannon Longyear Marc Ferrante Thomas V. Martin The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation Case Reports in Urology |
| title | The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation |
| title_full | The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation |
| title_fullStr | The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation |
| title_full_unstemmed | The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation |
| title_short | The Intraoperative Use of a Portable Cone-Beam Computed Tomography System for the Diagnosis of Intraperitoneal Bladder Perforation |
| title_sort | intraoperative use of a portable cone beam computed tomography system for the diagnosis of intraperitoneal bladder perforation |
| url | http://dx.doi.org/10.1155/2021/2060572 |
| work_keys_str_mv | AT ankurchoksi theintraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT benjaminpress theintraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT caycenawaf theintraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT shannonlongyear theintraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT marcferrante theintraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT thomasvmartin theintraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT ankurchoksi intraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT benjaminpress intraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT caycenawaf intraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT shannonlongyear intraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT marcferrante intraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation AT thomasvmartin intraoperativeuseofaportableconebeamcomputedtomographysystemforthediagnosisofintraperitonealbladderperforation |