PMC3921816_01
CT scan of the pelvis showing free fluid around a collapsed empty bladder with the catheter tip within.
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F0001
She had a CT scan that confirmed the presence of somewhat large amounts of free fluid in the peritoneum (Fig. 1), as well as normal kidneys and an empty bladder.
Laparoscopic picture of the pelvis with free fluid behind and a small perforation (P) at the dome of the bladder.
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F0002
The patient underwent an urgent diagnostic laparoscopy that revealed a flaccid empty bladder with a small perforation on the dome of the bladder (Figs. 2 and 3) with no other intra-abdominal pathologies.
Close view of the perforation (P).
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F0003
The patient underwent an urgent diagnostic laparoscopy that revealed a flaccid empty bladder with a small perforation on the dome of the bladder (Figs. 2 and 3) with no other intra-abdominal pathologies.
Cystogram image four weeks post operation showing complete healing and no leak.
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F0004
The patient passed a trial without a catheter after a normal cystogram (Fig. 4).
MR pelvis showing normal bladder (B) and no pelvic abnormality.
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F0005
A subsequent MRI of the pelvis and spine ruled out pelvic or spinal cord pathology (Fig. 5).