Contained iatrogenic bladder perforation
Persistent pain in the left lower abdomen for 5 days after bladder biopsy by transurethral resection.
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Thickening of the left caudal rectus abdominis muscle. Left antero-lateral paravesical, extraperitoneal density (probably haemorrhage) with a few tiny air bubbles. However, there is no contrast extravasation from the bladder.
This finding would have been impossible to detect with a mere x-ray cystography.