PMC4643468_01
Thickness in urinary bladder wall with air in it.
gr1.jpg
PMC4643468_01_gr1.jpg
fig0005
Abdominal CT scan showed moderate pneumoperitoneum with moderate abdomino-pelvic free fluid, likely due to hollow viscus perforation, diffuse haziness in the mesentery, moderate dilatation of the small bowel loops and Foley's catheter balloon seen in situ with partially distended urinary bladder; Fig. 1, Fig. 2.
Intraoperative finding of the ruptured bladder.
gr3.jpg
PMC4643468_01_gr3.jpg
fig0015
Exploratory laparotomy done and showed moderate intra-abdominal turbid fluid collection with pockets of pus in the pelvis and right paracolic gutter, dilated congested bowel loop with no signs of perforation, edema of the mesentery and urinary bladder perforation 3 x 3 cm in the dome of the bladder with inflamed mucosa and pus coming from inside the urinary bladder; Fig. 3.