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This review details emergent bladder conditions, focusing on trauma, infection, and obstruction. Multidetector computed tomography (CT) findings are illustrated for accurate diagnosis and management of these critical urinary tract emergencies.

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Area of Science:

  • Radiology
  • Urology
  • Emergency Medicine

Background:

  • Emergent bladder conditions require prompt and accurate diagnosis.
  • Multidetector computed tomography (CT) is crucial for evaluating acute bladder pathologies.
  • Understanding CT findings aids in differentiating traumatic, infectious, and obstructive etiologies.

Purpose of the Study:

  • To review the pathophysiology, presentation, and CT findings of emergent bladder conditions.
  • To illustrate CT cystographic techniques and bladder trauma classification.
  • To discuss imaging features of acute urinary retention and cystitis.

Main Methods:

  • Review of literature on emergent bladder conditions and their CT imaging.
  • Discussion of computed tomography (CT) cystographic techniques.
  • Presentation of classification systems for bladder trauma and imaging examples.

Main Results:

  • Detailed illustration of CT findings for bladder trauma, including common and rare injuries.
  • Explanation of the pathogenesis and imaging appearance of mechanical and neurogenic acute urinary retention.
  • Comprehensive review of CT features for various forms of cystitis and their complications.

Conclusions:

  • Multidetector CT is essential for diagnosing emergent bladder conditions.
  • Accurate interpretation of CT findings guides management of bladder trauma, obstruction, and infection.
  • This review provides a framework for understanding and diagnosing critical bladder pathologies on CT.