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Computerized tomography in diagnosis of bladder rupture
F C Lowe1, E K Fishman, J E Oesterling
1Department of Urology, Johns Hopkins University School of Medicine, Baltimore, Maryland.
Urology
|April 1, 1989
Summary
Patients with pelvic fractures and hematuria need evaluation for urinary tract injuries. Computerized tomography aids in diagnosing bladder rupture when cystograms are unclear.
Area of Science:
- Urology
- Radiology
- Trauma Surgery
Background:
- Significant pelvic fractures can cause associated urinary tract injuries.
- Hematuria in trauma patients necessitates a thorough investigation of the genitourinary system.
Observation:
- Retrograde cystography is a standard diagnostic tool for bladder rupture.
- Equivocal or negative cystogram findings can occur despite significant pelvic trauma.
Findings:
- Computerized tomography (CT) can serve as a valuable supplementary tool.
- CT can help diagnose bladder rupture when cystography results are inconclusive.
Implications:
- Integrating CT into the diagnostic pathway can improve accuracy for bladder rupture.
- Enhanced imaging protocols may optimize patient management following pelvic trauma.