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Monday, 20 April 2015

CASE 307: EXTRAPERITONEAL RUPTURE of URINARY BLADDER, Dr LÊ VĂN TÀI

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A 38-year-old man has fallen motorcycle one month ago. About two weeks he had dysuria and bloody urination.

Abdominal ultrasound scans detect structure echo free with thickening border due to inflamed fat close to urinary bladder. After to rule out appendicitis, abscess and fluid collection of acute pancreatitis, color Doppler with grade-compressible technique was used and to reveal color flow of jet or stream from fluid-filled structure into urinary bladder. Therefore diagnosis of extra-peritoneal urinary bladder rupture was established.

Late phase contrast enhanced-MSCT showing urine sac close to urinary bladder.
There is urine accumulation adjacent urinary bladder at cystography. 
Patient has been operated promptly.

Key diagnosis of fluid sac due to extraperitoneal urinary bladder rupture: color Doppler flow of urine jet through gap from fluid sac into urinary bladder.   





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