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150 ml of Isovue 300 was infused through the patient's indwelling Foley catheter.
The bladder partially distended and the bladder wall appeared irregular. There was resistance to hand injection of contrast, likely due to chronic blood products adherent to the catheter. With a small adjustment, contrast then began to flow freely into the bladder and began to leak into the intraperitoneal space, outlining bladder loops.