PMC6011169_01
Abdominal CT scan images revealing the presence of gas within the anterior bladder wall and retropubic space. The anterior bladder wall is not enhanced by contrast material.
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The latter was not enhanced with contrast material, indicating necrosis (Figures 1 and 2).
Coronal/sagittal abdominal CT scan images suggesting bladder rupture and diffuse peritonitis.
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The latter was not enhanced with contrast material, indicating necrosis (Figures 1 and 2).
CT cystography revealed extravasation of contrast solution in the peritoneal cavity.
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Instillation of contrast solution in the bladder through the indwelling catheter during CT revealed extravasation in the peritoneal cavity (Figure 3).
Extensive necrosis of perivesical fat (arrow) and presence of pus in the retropubic space.
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A partial cystectomy with debridement of the necrotic tissue and preservation of both ureters was decided (Figures 4-6).
Preservation of both ureters and trigone (arrow) after debridement of the necrotic tissue.
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A partial cystectomy with debridement of the necrotic tissue and preservation of both ureters was decided (Figures 4-6).
Closure of the bladder using the viable tissue from the posterior wall and trigone.
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A partial cystectomy with debridement of the necrotic tissue and preservation of both ureters was decided (Figures 4-6).