Delayed presentation of intravesical bone penetration after pelvic ring fracture

Retrograde cystography and computed tomography (CT) are considered the gold standard for investigating bladder and pelvic bone injury. However, these methods can miss extraperitoneal bladder rupture caused by a penetrating bone fragment from a pelvic bone fracture. We experienced a routine conventio...

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Bibliographic Details
Published in:Korean journal of urology 2012-12, Vol.53 (12), p.887-889
Main Authors: Kim, Jung Hoon, Ha, Yong-Chan, Kim, Tae-Hyoung, Myung, Soon Chul, Moon, Young Tae, Kim, Kyung Do, Chang, In Ho
Format: Article
Language:English
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Case Report
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Summary:Retrograde cystography and computed tomography (CT) are considered the gold standard for investigating bladder and pelvic bone injury. However, these methods can miss extraperitoneal bladder rupture caused by a penetrating bone fragment from a pelvic bone fracture. We experienced a routine conventional cystography and CT scan that failed to identify penetration of the bladder by a bone fragment, which thus delayed optimal treatment. Therefore, different diagnostic methods such as CT cystography or cystoscopy should be considered to rule out penetrating injury by a bony fragment in patients with extraperitoneal bladder rupture.
ISSN:2005-6737
2005-6745
DOI:10.4111/kju.2012.53.12.887