PMC9628684_01
Initial pelvic CT scan demonstrating a decompressed bladder, pelvic fractures, and small dots of air in the extraperitoneal space anterior to the bladder.
tsaco-2022-001033f01.jpg
PMC9628684_01_tsaco-2022-001033f01.jpg
F1
CT imaging was performed, which revealed multiple left-side rib fractures, small volume intraperitoneal fluid layering in right paracolic gutter and complex pelvic fractures with a decompressed bladder (figure 1).
Dry CT scan prior to instillation of bladder contrast for CT cystogram showing previously administered IV contrast pooling in the extraperitoneal space.
tsaco-2022-001033f02.jpg
PMC9628684_01_tsaco-2022-001033f02.jpg
F2
Prior to administration of contrast into the bladder, the non-infused CT scan revealed concern for a urethral and bladder base injury with extensive contrast in the extraperitoneal space (figure 2).
Dry CT scan prior to instillation of bladder contrast for CT cystogram. Previously given IV contrast is seen in the bladder and distal small bowel.
tsaco-2022-001033f03.jpg
PMC9628684_01_tsaco-2022-001033f03.jpg
F3
The Foley catheter extended into the urethral defect, and there was contrast in the distal small bowel (figure 3).