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
CT

Delayed phase contrast enhanced 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.

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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