Presentation
Lower abdominal pain following transurethral resection of a bladder tumor.
Patient Data
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.
Control CT study 3 wk afterwards
There is no difference beetween the initial and the last study as shown in tis 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.
Unable to process the form. Check for errors and try again.