History of mine explosion 2 months ago.
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AP radiograph demonstrates post traumatic pubic symphysis diastasis suggesting an open book pelvic injury.
Retrograde urethrogram shows opacified anterior urethra. However, the further passage of contrast from anterior to posterior urethra was unsuccessful and was intolerable by the patient.
The urinary bladder was filled with contrast material by suprapubic catheter.
During micturition attempt, partial opacification of the posterior urethra was seen and no passage of contrast from the posterior urethra to anterior urethra was noted.
The imaging findings are suggestive of a urethral injury, likely a urethral rupture which has now resulted in complete urethral obstruction with an open book pelvic injury.
This case is also contributed by Dr. M.M.S. Hoshang.