Pseudoaneurysm of the pudendal arteries complicating cystoprostatectomy: Diagnosis with MDCT angiography

Cystoprostatectomy is frequently performed on patients with highly invasive carcinoma of the prostate or transitional cell carcinoma of the bladder [1]. Other less common indications include severe radiation cystitis, urinary incontinence as the result of a small fibrotic bladder, and uncontrollable hematuria. The common complications of cystoprostatectomy include wound infection, anastomotic insufficiency, pulmonary embolism, deep venous thrombosis, prolonged ileus, and abscess [2]. We describe a rare case in which cystoprostatectomy resulted in formation of a pseudoaneurysm of the pudendal arteries. The diagnosis was made with 16-MDCT angiography with 3D reconstructions.