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Urinary Bladder Rupture
Case Detail
| Anatomy: Genitourinary |
 Joseph Junewick, MD FACR |
| Diagnostic Category: Trauma |
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| Created: about 1 year ago |
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| Updated: 11 months ago |
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| Tags:
PEDS
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| Modality/Study Types:
CT
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Activities:  PDF  ImageJA |
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.