Traumatic urinary bladder rupture: the usefulness of CT cystography

P Montigny,M F Billemont,P Matthys,J Pringot

doi:10.5334/jbr-btr.219

P Montigny, M F Billemont + Show 2 more

Open Access

https://doi.org/10.5334/jbr-btr.219

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Abstract

The purpose of the Journal of the Belgian Society of Radiology is the publication of articles dealing with diagnostic and interventional radiology, related imaging techniques, allied sciences, and continuing education

Highlights

The first radiological investigation performed was ultrasonography (Fig. A)
A 38-year-old male presented at the emergency unit with acute abdominal pain and massive hematuria after a fall in the stairs of his home
Conventional cystography has long been considered the gold standard in evaluating patient with suspected traumatic bladder lesion

Summary

Introduction

The first radiological investigation performed was ultrasonography (Fig. A). Free liquid was found in the Morisson pouch, in the perihepatic-space and in the perisplenic fossa. Traumatic urinary bladder rupture: the usefulness of CT cystography The first radiological investigation performed was ultrasonography (Fig. A). Unenhanced and contrast-enhanced CT of the abdomen in arterial, venous and late phase was performed and large amount of intraperitoneal liquid was confirmed but without evident cause (Fig. B). 60 minutes later, an additional cystography phase was performed and revealed a rupture in the superior aspect of the bladder with intraperitoneal spilling of contrast (Fig. C and D).

Results

Conclusion