PMC5537388_01
Whole-body multiphase MDCT. The saggital image reconstruction shows the location of the intraperitoneal bladder rupture (straight arrow), extraperitoneal bladder rupture (dotted arrow) and fluid in the space of Retzius (asterisk).
gr1.jpg
PMC5537388_01_gr1.jpg
fig0005
HU) and the space of Retzius (Fig. 1), a finding consistend with intra- and extraperitoneal urinary bladder ruptures. However, there was no evidence of fractures or further injuries to the parenchymatous or hollow organs.
Intraoperative view of the intraperitoneal bladder rupture (arrow).
gr2.jpg
PMC5537388_01_gr2.jpg
fig0010
While no further injuries of the parenchymatous or hollow organs were detected, the urinary bladder showed a CBR with a 2 cm long intraperitoneal (Fig. 2) and a 3 cm long extraperitoneal full thickness rupture (Fig. 3), which were repaired with a two-layer absorbable suture.
Inconspicuous cystography three weeks postoperatively.
gr4.jpg
PMC5537388_01_gr4.jpg
fig0020
Postoperatively, the initial cystographie after 10 days showed a questionable dorsal leakage, so the Foley catheter remained in place for another two weeks and was removed after inconspicuous cystography (Fig. 4).