Traumatic urethral injury on retrograde urethrogram

Case contributed by Dr Vaite Tsing


MVA multi-trauma with multiple pelvic fractures, blood at the penile meatus.

Patient Data

Age: 55 years
Gender: Male

Retrograde urethrogram showing rupture of the proximal urethra with extravsation of contrast into the right pelvic space. Performed after extra peritoneal packing.

Case Discussion

Urethral injury classically presents with blood at the meatus, perineal bruising, hematuria or acute urinary retention. Pelvic fractures resulting from high impact trauma may be associated with urethral injury. If urethral injury is suspected a retrograde urethrogram should be performed prior to catheterization.

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Case information

rID: 54757
Published: 27th Jul 2017
Last edited: 14th Aug 2019
Inclusion in quiz mode: Included

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