Nontraumatic bladder rupture: The images before and after.

Mitsumasa Okano,Kazuhiko Sakaguchi,Kazunori Otsui,Toshihiko Oshita

doi:10.1002/ccr3.4312

Abstract

We should consider the complication of bladder rupture for patients with worsened abdominal pain and inability to pass urine following acute cystitis. A CT scan is a useful first‐line modality when evaluating for a suspected bladder rupture.

Highlights

CT scan showed the fluid collection in the anteroventral portion of the bladder with thickening of pelvic peritoneum (Figure 1B)
Her retrograde cystography revealed contrast material moving outside the bladder into extraperitoneal space (Figure 1C)
She was diagnosed with extraperitoneal bladder rupture, which led to pelvic peritonitis and pseudo-renal failure due to creatinine reabsorption across the peritoneal membrane

Summary

Introduction

CT scan showed the fluid collection in the anteroventral portion of the bladder with thickening of pelvic peritoneum (Figure 1B). Physical examination revealed suprapubic tenderness with guarding. Laboratory findings showed elevated inflammation markers and serum creatinine level.

Results

Conclusion