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Splenic Cyst
Joseph Junewick, MD FACR
over 3 years ago
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Urinary Bladder Rupture

Case Detail

Anatomy: Genitourinary
Junewick
Joseph Junewick, MD FACR
Diagnostic Category: Trauma
Created: over 2 years ago
Updated: over 2 years ago
Tags: PEDS
Modality/Study Types: CT
Activities:
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History

11 year old female with bicycle injury.


Case Images


Diagnosis

Urinary Bladder Rupture

Clinical Notes

Puncture wound in left lower abdomen.

Findings

CT – Penetrating wound in left suprapubic region, air in the space of Retzius and peritoneal cavity, retroperitoneal edema and right paravesical contrast extravasation. No fracture or sentinel clot.

Discussion

Bladder injuries are uncommon but most often seen with pelvic fractures and polytrauma and consequently associated with high mortality (44%). Most bladder injuries are extraperitoneal and self-tamponade; intraperitoneal rupture require prompt surgical repair to prevent urine peritonitis.

Reference

Dreizen D, Munera F. Blunt Polytrauma: Evaluation with 64-section Whole-body CT Angiography. Radiographics (2012); 32:609-631.



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