Water soluble contrast agent injected via the indwelling catheter.
Diastasis of the pubic symphysis and sacral fractures are again demonstrated. There is extravasation of contrast to the left anteroinferior aspect of the bladder, with contrast tracking through the pubic diastasis into the scrotum and along the left pelvic sidewall into the medial compartment of the left thigh. Small amount of contrast is also extravasated into the lower aspect of the rectus sheath. Intrinsic linear high density along the medial aspect of the left rectus abdominis is noted.
No intraperitoneal contrast extravasation. Extraperitoneal haematoma is also demonstrated in the presacral region.
Extraperitoneal bladder rupture with contrast extravasating into the lower rectus sheath, scrotum and left thigh.