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Congress: ECR25
Poster Number: C-14572
Type: Poster: EPOS Radiologist (educational)
DOI: 10.26044/ecr2025/C-14572
Authorblock: M. Granados Baltuille, X. Xu Zhu, E. Díaz Rodríguez, C. Abiega Uncin; Madrid/ES
Disclosures:
Marta Granados Baltuille: Nothing to disclose
Xiaqun Xu Zhu: Nothing to disclose
Esther Díaz Rodríguez: Nothing to disclose
Candela Abiega Uncin: Nothing to disclose
Keywords: Emergency, Urinary Tract / Bladder, CT, Cystography / Uretrography, Diagnostic procedure, Education and training
Learning objectives Describe the main radiological findings of the most common types of bladder rupture based on clinical cases from our hospital.
Read more Background Bladder injuries, despite being uncommon due to their deep location in the pelvis, occur in up to 5-10% of abdominal traumas.Around 80% of cases are associated with pelvic fractures.They are non-life-threatening injuries, which are sometimes overlooked at first evaluation, increasing their morbidity and mortality (10-22%). Therefore, the radiologist should be familiar with the anatomy, diagnostic techniques and the main imaging findings of these lesions in order to suspect them in emergency situations and improve their prognosis. ANATOMYThe urinary bladder is a...
Read more Findings and procedure details CLINICAL CASES:1.- A 24-year-old male suffered an assault with abdominal trauma. Hypogastric pain, 24-hour anuria and worsening renal function.CT-cystography. Diluted contrast is administered through a Foley catheter that completely opacifies the urine inside the bladder. This case presents extensive extravasation of contrast into the peritoneal cavity, occupying the rectovesical recess, the paravesical spaces, the space between the intestinal loops, the parietocolic gutters and the subhepatic space. Findings in relation to intraperitoneal bladder rupture. [fig 5] , [fig 6] , [fig 7]  2.- A 40-year-old woman underwent...
Read more Conclusion Bladder ruptures are usually the result of abdominal trauma, whether blunt or penetrating. They are associated with high morbidity and mortality, because they may be, initially, overlooked as they do not present as life-threatening situations for the patient in many cases.For this reason, it is important to be aware of the main imaging findings in order to speed up diagnosis and treatment and, therefore, improve their prognosis.
Read more References 1.-Wongwaisayawan S, Krishna S, Sheikh A, Kaewlai R, Schieda N. Imaging spectrum of traumatic urinary bladder and urethral injuries. Abdom Radiol (NY). 2021 Feb;46(2):681-691. doi: 10.1007/s00261-020-02679-0. Epub 2020 Jul 28. PMID: 32725483.2.-Avey G, Blackmore CC, Wessells H, et al. Radiographic and clinical predictors of bladder rupture in blunt trauma patients with pelvic fracture. Acad Radiol. 2006;13:573–579.[PubMed].3.-EAU Guidelines on Urological Trauma 2023.4.-Phillips B, Holzmer S, Turco L, Mirzaie M, Mause E, Mause A, Person A, Leslie SW, Cornell DL, Wagner M,...
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