Extraperitoneal bladder rupture
Updates to Case Attributes
Typical findings of extraperitoneal bladder rupture following severe pelvic trauma. This case highlights the importance of performing a proper cystogram following trauma, as the bladder was suboptimally evaluated on the original delayed images. I would imagine that even later delays with more bladder volume may not have confidently shown the small areas of leakage anteriorly. The blood tracking along the left ureter was likely related to pelvic fractures rather than injury of the left ureter.
The pattern of asymmetry of renal enhancement and excretion of contrast on the delayed images is unexpected and of uncertain significance. It would be reasonable to recommend laboratory and/or functional imaging follow-up if depending on clinical concern.
-<p>Typical findings of extraperitoneal bladder rupture following severe pelvic trauma. This case highlights the importance of performing a proper cystogram following trauma as the bladder was suboptimally evaluated on the original delayed images. I would imagine that even later delays with more bladder volume may not have confidently shown the small areas of leakage anteriorly. The blood tracking along the left ureter was likely related to pelvic fractures rather than injury of the left ureter.</p><p>The pattern of asymmetry of renal enhancement and excretion of contrast on the delayed images is unexpected and of uncertain significance. It would be reasonable to recommend laboratory and/or functional imaging follow-up if depending on clinical concern. </p>- +<p>Typical findings of extraperitoneal bladder rupture following severe pelvic trauma. This case highlights the importance of performing a proper cystogram following trauma, as the bladder was suboptimally evaluated on the original delayed images. I would imagine that even later delays with more bladder volume may not have confidently shown the small areas of leakage anteriorly. The blood tracking along the left ureter was likely related to pelvic fractures rather than injury of the left ureter.</p><p>The pattern of asymmetry of renal enhancement and excretion of contrast on the delayed images is unexpected and of uncertain significance. It would be reasonable to recommend laboratory and/or functional imaging follow-up depending on clinical concern. </p>
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