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Joseph Junewick, MD FACR
over 7 years ago
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Intraperitoneal Bladder Rupture

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 6 years ago
Updated: over 6 years ago
Tags: ADULT
Modality/Study Types: CT
Activities:
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History

Young adult with diffuse abdominal pain. No recollected injury although recent alcohol ingestion.


Case Images


Diagnosis

Intraperitoneal Bladder Rupture

Findings

CT – Moderate ascites with mural thickening and dehiscence of the dome of the urinary bladder.

Discussion

Intraperitoneal bladder rupture occurs in approximately 10%–20% of major bladder injuries. This injury is typically the result of a direct blow to the already distended bladder. The sudden increase in intravesicular pressure causes intraperitoneal rupture of the bladder dome. At CT fluid may be seen around bowel loops, between mesenteric folds, and in the paracolic gutters.

Reference

Vaccaro JP, Brody JM. CT Cystography in the Evaluation of Major Bladder Trauma. RadioGraphics (2000); 20, 1373-1381.

Contributor

Scott Lancaster, MD



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