Pear-shaped bladder

Case contributed by Dr Ian Bickle

Presentation

Withheld.

Patient Data

Age: 35 years
Gender: Male
Fluoroscopy

AP view from a cystogram showing a pear-shaped bladder.

Right superior pubic ramus fracture.

Case Discussion

The contrast-filled bladder is becoming distorted in shape, with compression of the lateral walls leading to an apparent increase in the inferosuperior dimension of the bladder, or the so-called pear-shaped bladder appearance. The right superior pubic ramus is fractured, explaining the increase in pelvic fluid (haemorrhage) that would give this appearance to the bladder. 

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Case information

rID: 20899
Published: 20th Dec 2012
Last edited: 29th Sep 2018
System: Urogenital
Inclusion in quiz mode: Included

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