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48+ Extra Vs Intraperitoneal Bladder Rupture UK

48+ Extra Vs Intraperitoneal Bladder Rupture UK. Bladder rupture intraperitoneal and extraperitoneal. Cystography demonstrates intraperitoneal contrast material around bowel loops.

Bladder Injury Bladder Trauma
Bladder Injury Bladder Trauma from www.urology-textbook.com
Because bladder dome is weakest portion, it ruptures most easily. Bladder rupture occurs in only 1.6% of blunt abdominopelvic trauma cases. Intraperitoneal bladder ruptures are possible even without pelvic fractures and can be missed on routine imaging of the abdomen.

The attending surgeon should be able to diagnose and manage this injury.

A high degree of suspicion with appropriate imaging (ct cystography) is necessary in all such cases to ensure timely diagnosis and intervention. Based on extra vs intraperitoneal rupture. The peritoneal relations are important in rupture of the bladder, which may result in either intraperitoneal or extraperitoneal extravasation of urine (see fig. The extravaseted contrast may outline loops of bowel of accumulate in the paracolic gutters, beneath the diaphragm or over the bladder in hourglass pattern.

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