PMC6369329_01
A: CT abdomen showing simple fluid density (urine) in perihepatic space and hepatorenal fossa. B: CT pelvis showing simple fluid density (urine) surrounding the uterus.
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Non-contrast CT abdomen and pelvis showed no evidence of acute trauma, but revealed a moderate amount of simple fluid density ascites within the abdomen and pelvis of unknown etiology (Fig. 1).
A: Intraoperative view of low midline laparotomy showing ruptured bladder dome with bladder catheter and inflated balloon. B: Ruptured bladder wall held with Babcock forceps.
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Trauma surgery then performed an emergent exploratory laparotomy and found a full-thickness rupture across the bladder dome (Fig. 2).
A: Postoperative cystogram of bladder filling with contrast and no leak. B: Postoperative cystogram demonstrating full bladder with no leakage.
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By postoperative day three, hematuria resolved, and cystography showed no leakage (Fig. 3).