Intraperitoneal bladder rupture

Discussion:

Bladder rupture is uncommon.  It typically follows significant trauma to the pelvis, for example following a RTA, assualt or a fall from a height.  It is often associated with other injuries, in particular pelvic fractures.

High clinical suspicion combined with suggestive findings on a standard trauma CT (portal venous phase) is required, to instigate the decision to instill iodinated contrast via a urinary catheter to clinch the diagnosis.

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