PMC6311248_01
Distended bladder with thickened wall (arrow).
CRIU2018-7978126.001.jpg
PMC6311248_01_CRIU2018-7978126.001.jpg
fig1
Her initial workup including computed tomography (CT) scan of her abdomen and pelvis was unremarkable outside of a distended bladder with thickened wall (Figure 1).
Extraperitoneal/intraperitoneal air with Foley catheter in place (arrow).
CRIU2018-7978126.002.jpg
PMC6311248_01_CRIU2018-7978126.002.jpg
fig2
She had repeat computed tomography scan of her abdomen and pelvis without contrast which was concerning intraperitoneal and extraperitoneal air around the bladder with a Foley catheter in place (Figure 2).
Contrast extravasation demonstrated with computed tomography cystogram (arrow).
CRIU2018-7978126.003.jpg
PMC6311248_01_CRIU2018-7978126.003.jpg
fig3
This prompted reevaluation of her bladder further with CT cystogram which demonstrated contrast extravasation (Figure 3).