Traumatic urethral injury

Case contributed by Dr Andrew Dixon

Presentation

Trauma with displaced pelvic fractures.

Patient Data

Age: 20
Gender: Male

This case featured in our 2016 Trauma Radiology Course which is now available to view online.

Retrograde Urethrogram

Modality: Fluoroscopy

Retrograde urethrogram in a patient with pelvic fractures demonstrates contained contrast leakage at the posterior urethra (membranous portion). Contrast does ascend into the bladder and therefore the urethral injury is incomplete. Contrast in the right ureter was due to previous renal excreted contrast from a CT study rather than reflux. 

Case Discussion

Typical location and appearance of a traumatic urethral injury involving the posterior urethra. This site is susceptible to injury as the puboprostatic ligaments are firmly attached to the base of the prostate at this location and produce a strong shearing force if the pubic bones or pubic symphysis become displaced. 

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Case Information

rID: 31648
Case created: 19th Oct 2014
Last edited: 28th Jul 2016
System: Urogenital
Inclusion in quiz mode: Included

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