Contained iatrogenic bladder perforation

Case contributed by Dr Roberto Schubert

Presentation

Persistent pain in the left lower abdomen for 5 days after bladder biopsy by transurethral resection.

Patient Data

Age: 45
Gender: Male
Modality: CT

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.

Case Discussion

This finding would have been impossible to detect with a mere x-ray cystography.

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Case Information

rID: 14924
Case created: 5th Sep 2011
Last edited: 17th Oct 2015
System: Urogenital
Inclusion in quiz mode: Included

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