Urinary bladder rupture

Case contributed by Maulik S Patel
Diagnosis certain

Presentation

Blunt abdominal trauma.

Patient Data

Age: 6 years
Gender: Male
ultrasound

Pelvic free fluid with a hypoechoic disruption of the urinary bladder wall.

Case Discussion

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.

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