Urinary bladder rupture
Blunt abdominal trauma.
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Pelvic free fluid with a hypoechoic disruption of the urinary bladder wall.
Ultrasound obtained nine hours after the trauma demonstrates gross free fluid in the abdomen and pelvis. A defect is seen in the urinary bladder dome in keeping with an intraperitoneal bladder rupture.
The patient went on to be operated upon one hour later and an intraperitoneal rupture of urinary bladder was confirmed.