Prostate Brachytherapy seed migration to the Bladder presenting with Gross Hematuria

Authors

  • Reham R. Haroun
  • John W. Nance Jr
  • Elliot k. Fishman

DOI:

https://doi.org/10.3941/jrcr.v10i1.2657

Keywords:

Prostate cancer, brachytherapy, seed migration, hematuria, 3-D Computed tomography

Abstract

We present the radiologic findings in a case of prostate brachytherapy seed migration to the bladder presenting as gross hematuria. While prostate brachytherapy seed implantation is considered a relatively safe procedure, migration is not uncommon; however, it is usually clinically silent and the seeds most commonly migrate to the lungs through the venous circulation via the periprostatic venous plexus. Our case illustrates that local erosion is possible, can be symptomatic, and therefore must be considered when evaluating select patients.

Published

2016-01-27

Issue

Section

Genitourinary Radiology