Pear shaped bladder on CT

Case contributed by Dr Vikas Shah

Presentation

A young man presents following stab injury to left lower abdomen.

Patient Data

Age: Young adult
Gender: Male

Delayed phase contrast enhanced CT

Modality: CT

Delayed acquisition following contrast administration to evaluate the ureters and urinary bladder.

No ureteric or bladder injury. but the bladder is compressed laterally leading to it's odd shape, similar to a pear. The cause here is an extraperitoneal haematoma secondary to venous injury.

Modality: Photo

"Alexander Lucas 10.10.10" by Kombucha - Own work (Original text: eigene). Licensed under Creative Commons Attribution-Share Alike 3.0-2.5-2.0-1.0 via Wikimedia Commons -

http://commons.wikimedia.org/wiki/File:Alexander_Lucas_10.10.10.jpg#mediaviewer/File:Alexander_Lucas_10.10.10.jpg

Case Discussion

A pear-shaped bladder can result from extra-peritoneal haematoma, lymphadenopathy, lymphocoeles and lipomatosis.

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Case Information

rID: 31249
Case created: 26th Sep 2014
Last edited: 7th Jan 2016
System: Urogenital
Inclusion in quiz mode: Included

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