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BWH emergency radiology-surgical correlation: intraperitoneal urinary bladder rupture

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Abstract

We describe the radiological and intraoperative correlation of two cases of intraperitoneal bladder rupture: a 23-year-old man involved in a high-speed motor vehicle collision and a 49-year-old man with hematuria and abdominal pain after a night of heavy alcohol ingestion. Both patients underwent urgent exploratory laparotomies and repair of their bladder injuries. The purpose of this article is to emphasize the importance of understanding the different etiologies of bladder rupture and recognizing the imaging findings on computed tomography (CT) and CT cystography to help guide the surgeons in the patient’s management.

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References

  1. Gomez RG, Ceballos L, Coburn M et al (2004) Consensus statement on bladder injuries. BJU 94:27–32

    Article  Google Scholar 

  2. Huffman JL, Schraut W, Bagley D et al (1983) Atraumatic perforation of bladder. Urology 22(1):30–35

    Article  CAS  PubMed  Google Scholar 

  3. Parker H, Hoonpongsimanont W, Vaca F et al (2007) Spontaneous bladder rupture in association with alcoholic binge: a case report and review of the literature. J Emerg Med 37(4):386–389

    Article  PubMed  Google Scholar 

  4. Sandler CM, Hall JT, Rodriguez M et al (1986) Bladder injury in blunt pelvic trauma. Radiology 158:633–638

    Article  CAS  PubMed  Google Scholar 

  5. Vacarro JP, Brody JM (2000) CT cystography in the evaluation of major bladder trauma. Radiographics 20:1373–1381

    Article  Google Scholar 

  6. Corriere JN, Sandler CM (1999) Bladder rupture from external trauma: diagnosis and management. World J Urol 17:84–89

    Article  PubMed  Google Scholar 

  7. Moore EE, Cogbill TH, Jurkovich GJ et al (1992) Organ Injury scaling. III: Chest wall, abdominal vascular, ureter, bladder, and urethra. J Trauma 33(3):337–339

    Article  CAS  PubMed  Google Scholar 

  8. Daignault MC, Saul T, Lewiss R (2012) Bedside ultrasound diagnosis of atraumatic bladder rupture in an alcohol-intoxicated patient: a case report. Crit Ultrasound J 4(1):9

    Article  PubMed Central  PubMed  Google Scholar 

  9. Morey AF, Iverson AJ, Swan A et al (2001) Bladder rupture after blunt trauma: guidelines for diagnostic imaging. J Trauma 51:683–686

    Article  CAS  PubMed  Google Scholar 

  10. Morgan DE, Nallamala LK, Kenney PJ (2000) CT cystography: radiographic and clinical predictors of bladder rupture. AJR Am J Roentgenol 174:89–95

    Article  CAS  PubMed  Google Scholar 

  11. Gross JS, Rotenberg S, Horrow M (2014) Bladder injury: types, mechanisms, and diagnostic imaging. Radiographics 34(3):802–803

    Article  PubMed  Google Scholar 

  12. Pao DM, Ellis JH, Cohan R et al (2000) Utility of routine trauma CT in the detection of bladder rupture. Acad Radiol 7:317–324

    Article  CAS  PubMed  Google Scholar 

  13. Quagliano PV, Delari SM, Malhotra AK (2006) Diagnosis of blunt bladder injury: a prospective comparative study of computed tomography cystography and conventional retrograde cystography. J Trauma 61(2):410–421

    Article  PubMed  Google Scholar 

  14. Ishak C, Kanth N (2011) Bladder trauma: multidetector computed tomography cystography. Emerg Radiol 18:321–327

    Article  PubMed  Google Scholar 

  15. Morey AF, Brandes S, Dugi DD 3rd et al (2014) Urotrauma: AUA guideline. J Urol Aug 192(2):327–335

    Article  Google Scholar 

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Conflict of interest

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Department of Radiology, Brigham and Women’s Hospital, Harvard Medical School, 75 Francis Street, Boston, MA, 02115, USA

    Wendy Landman, Bharti Khurana & Aaron D. Sodickson

  2. Department of Surgery, Brigham and Women’s Hospital, Harvard Medical School, Boston, MA, USA

    Alexandra Briggs, Mark Fairweather, Zara Cooper & Robert Riviello

Authors
  1. Wendy Landman
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  2. Bharti Khurana
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  3. Alexandra Briggs
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  4. Mark Fairweather
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  5. Zara Cooper
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  6. Robert Riviello
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  7. Aaron D. Sodickson
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Correspondence to Wendy Landman.

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Landman, W., Khurana, B., Briggs, A. et al. BWH emergency radiology-surgical correlation: intraperitoneal urinary bladder rupture. Emerg Radiol 22, 713–716 (2015). https://doi.org/10.1007/s10140-015-1323-8

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  • DOI: https://doi.org/10.1007/s10140-015-1323-8

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