CT findings of spontaneous intraperitoneal rupture of the urinary bladder: two case reports |
| |
Authors: | Junichi Izumi Hiroko Hirano Takeshi Kato Takuo Ito Koji Kinoshita Toshiki Wakabayashi |
| |
Institution: | (1) Department of Radiology, Yokote Municipal Hospital, 5-31 Negishicho, Yokote 013-8602, Japan;(2) Department of Surgery, Yokote Municipal Hospital, Yokote, Japan;(3) Department of Urology, Yokote Municipal Hospital, Yokote, Japan;(4) Department of Internal Medicine, Yokote Municipal Hospital, Yokote, Japan;(5) Department of Surgery, Akita City Hospital, Akita, Japan |
| |
Abstract: | We report two cases of spontaneous bladder rupture. Preoperative diagnosis was difficult and the correct diagnosis was made
at surgery. Reviewing the initial abdominopelvic CT of our second patient, the bladder wall defect and blood attenuation near
the bladder were observed. These findings were consistent with the operative findings, and would have led to correct preoperative
diagnosis if we had had sufficient knowledge of spontaneous bladder rupture. Under urinary catheterization, ascites and free
intraperitoneal air were identified in both patients. These findings were indistinguishable from those for bowel perforation,
which was our preoperative diagnosis. Significant changes in ascites volume between pre and post urinary catheterization can
be an indication of spontaneous bladder rupture. |
| |
Keywords: | |
本文献已被 PubMed SpringerLink 等数据库收录! |
|