Bladder rupture - intraperitoneal

Case contributed by A.Prof Frank Gaillard

Presentation

Motor vehicle accident.

Patient Data

Age: 30 years
Gender: Male
Modality: CT

There is a moderate amount of free fluid within the right upper quadrant and right paracolic gutter, with a small amount of fluid also seen in the left upper quadrant and the mesentery. This fluid is only slightly denser than water / urine, but certainly does not represent merely a haemoperitoneum. The dome of the bladder appear a little thickened and irregular, although the bladder is well distended. 

There is no liver injury demonstrated. The spleen, pancreas or adrenal glands and kidneys are normal in appearance.  No bowel wall thickening appreciated. Duodenum unremarkable. No lumbar spinal or pelvic fractures. Minor subcutaneous fat stranding in lower anterior abdominal wall, in keeping with seatbelt injury.

Case Discussion

Intra-peritoneal bladder rupture was subsequently proven at laparotomy.

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Case Information

rID: 24261
Case created: 4th Aug 2013
Last edited: 6th Dec 2016
System: Urogenital
Tag: trauma
Inclusion in quiz mode: Included

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