Computerized Tomography Cystography for the Diagnosis of Traumatic Bladder Rupture

Deck, Andrew J.; Shaves, Sarah; Talner, Lee B.; Porter, James R.

doi:10.1016/s0022-5347(05)67445-9

Cited by 88 publications

(34 citation statements)

References 14 publications

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“…Most spontaneous bladder ruptures occur as the result of long-term indwelling catheters, radiation, chronic cystitis, bladder distention due to infravesical obstruction, or neurogenic bladder dysfunction [1]. However, bladder perforation associated with bladder cancer is an extremely rare cause of spontaneous rupture [2,3]. Such rupture is a surgical emergency that may be rapidly fatal if its diagnosis and treatment is delayed or missed.…”

Section: Discussionmentioning

confidence: 99%

Spontaneous Intraperitoneal Bladder Perforation Associated with Urothelial Carcinoma with Divergent Histologic Differentiation, Diagnosed by CT Cystography

2010

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Spontaneous bladder perforation is a very rare event. Prompt diagnosis of this injury is very important, particularly with intraperitoneal perforation, because mortality increases if surgical repair is delayed. Previous studies have reported that plain cystography is the primary modality of imaging study rather than relatively insensitive computed tomography (CT) when bladder perforation is suspected. We report here a rare case of spontaneous intraperitoneal perforation of the bladder associated with urothelial carcinoma with divergent histologic differentiation, as diagnosed with CT cystography.

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Section: Discussionmentioning

confidence: 99%

Spontaneous Intraperitoneal Bladder Perforation Associated with Urothelial Carcinoma with Divergent Histologic Differentiation, Diagnosed by CT Cystography

2010

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“…This can be best done by CT imaging. 6,7 Having ruled out renal injury one can then concentrate on carrying out investigations for urinary bladder injury. A CT cystogram or plain cystogram is diagnostic.…”

Section: Investigationsmentioning

confidence: 99%

Management of urinary bladder injuries

et al. 2016

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“…There is controversy in the literature about the advantages of computed tomography (CT) ( fig. 6) versus retrograde cystography [16,17] ( fig. 7).…”

Section: Radiographic Imagingmentioning

confidence: 99%

Imaging Studies in the Diagnosis of Urogenital Trauma

Herbst¹,

Schmelz²,

Sparwasser³

2003

Urol Int

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Polytraumatized patients often present with urological injuries. After hemodynamic stability is maintained urologists are consulted to evaluate diagnostic and therapeutic interventions. The following article describes how to handle the work-up of patients with injuries to specific urogenital organs: the importance of clinical examination, ultrasonography, computed tomography (CT), magnetic resonance imaging (MRI), angiography as well as organ-specific radiologic studies such as intravenous pyelography or cystography are discussed. Conclusion: Even though injuries to the urogenital tract are rarely initially life – threatening, a fast, reliable and adequate diagnostic algorithm has to be established to avoid any delay of specific treatment. Urologists should be familiar with the indications, range and accuracy of these procedures in the diagnosis of urogenital trauma.

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Computerized Tomography Cystography for the Diagnosis of Traumatic Bladder Rupture

Abstract: CT cystography provides expedient evaluation of bladder rupture due to blunt trauma and has accuracy comparable to that reported for plain film cystography. We recommend CT cystography over plain film cystography in patients undergoing CT for other injuries associated with blunt trauma.

Cited by 88 publications

References 14 publications

Spontaneous Intraperitoneal Bladder Perforation Associated with Urothelial Carcinoma with Divergent Histologic Differentiation, Diagnosed by CT Cystography

Spontaneous Intraperitoneal Bladder Perforation Associated with Urothelial Carcinoma with Divergent Histologic Differentiation, Diagnosed by CT Cystography

Management of urinary bladder injuries

Imaging Studies in the Diagnosis of Urogenital Trauma

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