CT
Axial bone window
Coronal C+ arterial phase
Axial C+ arterial phase
What are the names of the two potential spaces posterior to the bladder in human females?
Uterovesical pouch (between bladder and uterus) and rectovesical pouch (pouch of Douglas).
Conclusion
- In the right iliac fossa multiple locules of gas and subcutaneous stranding mark the site of the clinically apparent groin wound.
- Locules of gas extend inferiorly adjacent to the psoas muscle and superiorly in extra peritoneal locations. At the iliac crest underlying the wound, there is an apparent localised defect in the contour of the peritoneal cavity and anterior abdominal wall musculature when compared to the contralateral side. There is herniation of extraperitoneal fat and caecum into this defect.
- No definite peritoneal breach is identified, nor intraperitoneal free gas, however the possibility of peritoneal intrusion at this site is raised.
- Within the pelvis, there is a moderate amount of blood.
- There is stranding in the lower small bowel mesentery, raising the possibility of an occult bowel injury.