Extraperitoneal bladder rupture


A fall from a significant height is an indication for a "trauma protocol" whole-body CT. This case illustrates plain film and CT signs of pelvic ring fractures, and the ultrasound and CT studies show free fluid and urine leak due to the associated bladder injury. Instillation of diluted contrast via the urinary catheter can be quickly done while the patient is on the CT table to definitively identify a bladder rupture. The standard management of an extraperitoneal bladder rupture is conservative and this man recovered after a few months of urinary catheter management.