Bladder rupture

Case contributed by Dr Servet Kahveci

Presentation

Lower abdominal pain following transurethral resection of a bladder tumor.

Patient Data

Age: 50 years
Gender: Female
CT

One day post-operation

There is an air fluid level in the bladder. A defect on the right anterolateral side of the bladder associated with an air-filled loculation that is located on the anterosuperior side of the bladder.

CT

Control CT study three weeks afterwards

There is no difference beetween the initial and the last study as shown in tis image. 

Annotated image

Air fluid level in the bladder (red arrow). 

Margins of the bladder (white mark) with loss of continuity 

There is a defect on the right anterolateral side of the bladder (yellow arrow) seen associated with an air containing loculation (black arrow) which is located on the anterosuperior side of the bladder.

Case Discussion

The presence of bladder injury must be considered in patients with lower abdominal pain after bladder surgery. Bladder rupture is a rare complication of bladder surgery, complications of which include urinoma, ascites, infection, hematuria, incontinence and fistula formation. Retrograde cystography, ultrasonography and CT studies can be employed to make the diagnosis. CT has the added advantages of providing effective evaluation of concomitant complications and the retroperitoneal region.

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Case information

rID: 60190
Published: 15th May 2018
Last edited: 14th Aug 2019
System: Urogenital
Inclusion in quiz mode: Included
Institution: Sevgi Private Hospital

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