Bladder trauma: multidetector computed tomography cystography

Charbel, Ishak; Kanth, Nalini

doi:10.1007/s10140-011-0947-6

Cited by 11 publications

(7 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…This case demonstrates an initially unsuspected case of extraperitoneal bladder perforation following TURBT, which was diagnosed by imaging. CT cystography is a reliable and fast method to determine the presence and location of suspected bladder perforation and to help guide appropriate therapy (4)(5)(6). For the detection of small dehiscences and non trasmural injuries post-voiding CT post-void phase after lavaging the bladder can be of used (7).…”

Section: Discussionmentioning

confidence: 99%

Symptomatic Extraperitoneal Bladder Perforation Following Transurethral Bladder Surgery: Imaging with CT Urography

Mannelli¹,

Gross²,

Medverd³

et al. 2013

Int. braz j urol.

View full text Add to dashboard Cite

An 80 year-old man presented to his primary care physician with painless gross hematuria. He reported having intermittent episodes of pink urine containing small clots for about three months. He was initially treated with a single course of ciprofloxacin for presumed urinary tract infection. His symptoms did not improve with antibiotic therapy and he was then referred to our institution for a computed tomography (CT) urogram. CT urogram showed a 4 x 3.6 centimeter (cm) infiltrating solid mass along the left lateral posterior wall of the urinary bladder ( Figure-1). Tumor also extended along the bladder dome. Prostate enlargement and bladder diverticula were also present. He was referred to the urology service and subsequently underwent transurethral resection of bladder tumor (TURBT) with fulguration. No intraoperative complications were noted and he returned to the recovery room in satisfactory condition on continuous bladder irrigation. Pathologic examination revealed a 5 cm transitional cell carcinoma with high grade growth pattern invading the deep muscular layer.On postoperative day one, the patient reported abdominal pain and general discomfort. Physical exam revealed a grossly distended abdomen which was tender to palpation with positive guarding and decreased bowel sounds. He

show abstract

Section: Discussionmentioning

confidence: 99%

Symptomatic Extraperitoneal Bladder Perforation Following Transurethral Bladder Surgery: Imaging with CT Urography

Mannelli¹,

Gross²,

Medverd³

et al. 2013

Int. braz j urol.

View full text Add to dashboard Cite

show abstract

“…As a result of its protected location within the true pelvis, the majority of bladder injuries are associated with pelvic fractures and concurrent bladder rupture is seen overall in 2-11 % of cases [58]. Incidence increases to 29 % when there is also gross hematuria (GH).…”

Section: Bladder Injurymentioning

confidence: 99%

“…Antegrade bladder filling following IV contrast administration inadequately distended the bladder for evaluation and may delay diagnosis [54••]. Either computed tomography or plain films (with an AP and lateral view) can be obtained after retrograde contrast infusion [58]. Finally, a post-void film is essential to document extravasation which may be obscured when the bladder is filled with contrast.…”

Section: Bladder Injurymentioning

confidence: 99%

Trauma to the Pelvis: Injuries to the Rectum and Genitourinary Organs

Posluszny

Branch

et al. 2015

Curr Trauma Rep

View full text Add to dashboard Cite

Pelvic trauma is associated with high mortality rates. Blunt pelvic injuries from high-energy mechanisms are often associated with pelvic fractures and injuries to the rectum and genitourinary (GU) tract. In addition, due to close anatomic proximity, penetrating pelvic trauma can injure the bony pelvis, rectum, and GU tract concomitantly. As a result, the assessment and management of pelvic trauma requires a multifaceted approach involving orthopedics, trauma surgery and urology.

show abstract

“…Allowing identification of small urine leaks in every possible direction, MDCT cystography approaches absolute sensitivity and specificity with no false-negative results reported [6, 7]. …”

Section: Introductionmentioning

confidence: 99%

“…Therefore, MDCT cystography is currently the most recommended imaging technique to detect and classify traumatic bladder lesions, including contusion (without extravesical leak), intraperitoneal, extraperitoneal or combined rupture [6, 7]. …”

Section: Introductionmentioning

confidence: 99%

Multidetector CT cystography for imaging colovesical fistulas and iatrogenic bladder leaks

Tonolini

Bianco

2012

Insights Imaging

View full text Add to dashboard Cite

Multidetector computed tomography (MDCT) cystography currently represents the modality of choice to image the urinary bladder in traumatized patients. In this review we present our experience with MDCT cystography applications outside the trauma setting, particularly for diagnosing bladder fistulas and leaks. A detailed explanation is provided concerning exam preparation, acquisition technique, image reconstruction and interpretation. Colovesical fistulas most commonly occur as a complication of sigmoid diverticular disease, and often remain occult after extensive diagnostic work-up including cystoscopy and contrast-enhanced CT. We consistently achieved accurate preoperative visualization of colovesical fistulas using MDCT cystography. Urinary leaks and injuries represent a non-negligible occurrence after pelvic surgery, particularly obstetric and gynaecological procedures: in our experience MDCT cystography is useful to investigate iatrogenic bladder leaks or fistulas. In our opinion, MDCT cystography should be recommended as the first line modality for direct visualization or otherwise confident exclusion of both spontaneous enterovesical fistulas and bladder injuries following instrumentation procedures, obstetric or surgical interventions.Main Messages• Explanation of exam preparation, acquisition technique, image reconstruction and interpretation.• Preoperative visualization of colovesical fistulas, usually secondary to sigmoid diverticulitis.• Visualization or exclusion of iatrogenic bladder injuries following instrumentation or surgery.

show abstract

Bladder trauma: multidetector computed tomography cystography

Cited by 11 publications

References 13 publications

Symptomatic Extraperitoneal Bladder Perforation Following Transurethral Bladder Surgery: Imaging with CT Urography

Symptomatic Extraperitoneal Bladder Perforation Following Transurethral Bladder Surgery: Imaging with CT Urography

Trauma to the Pelvis: Injuries to the Rectum and Genitourinary Organs

Multidetector CT cystography for imaging colovesical fistulas and iatrogenic bladder leaks

Contact Info

Product

Resources

About