The urinary bladder is well-distended upon instillation of approximately 300ml dilute water-soluble contrast (1:10 concentration).
Intraperitoneal contrast extravasation from a small defect on the posterior body of the urinary bladder, filling the vesicouterine pouch up to the right paracolic gutter. No contrast extravasation within the retro or extraperitoneal spaces.
Clotted blood (attenuation 66HU) and Foley's catheter balloon are present in the urinary bladder.
Both kidneys enhance homogenously, with the contrast flowing smoothly within the pelvicalyceal systems and ureters. No hydronephrosis. No evidence of ureteric injury.
Free fluid with peripheral enhancement at the pelvic and lumbar region in keeping with urinoma.
The uterus is bulky without focal lesion, consistent with recent postpartum history.