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Focused Assessment with Sonography for Trauma FAST Exam: Image Acquisition
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Isolated Ascites on CT After Blunt Trauma: A Sign of Intraperitoneal Bladder Rupture.
Xiaoni Zhao1, Pierre D Maldjian1
1Department of Radiology, Rutgers New Jersey Medical School, Newark, USA.
Cureus
|January 20, 2022
Summary
Intraperitoneal bladder rupture can cause unexplained ascites after blunt abdominal trauma. Delayed CT scans and CT cystography are crucial for diagnosing this condition.
Area of Science:
- Urology
- Trauma Surgery
- Diagnostic Imaging
Background:
- Blunt abdominal trauma can lead to serious internal injuries.
- Intraperitoneal bladder rupture is a rare but critical consequence.
- Accurate diagnosis is essential for timely management.
Observation:
- A 24-year-old male presented with injuries after a motorcycle accident.
- Initial CT scans revealed free fluid in the abdomen and pelvis.
- Delayed imaging demonstrated contrast extravasation into the perineal cavity.
Findings:
- CT cystography confirmed a rupture at the bladder dome.
- Active contrast extravasation indicated ongoing leakage.
- The findings suggest intraperitoneal bladder rupture as a cause of ascites.
Implications:
- Intraperitoneal bladder rupture should be considered in trauma patients with unexplained ascites.
- Delayed CT and CT cystography are valuable diagnostic tools.
- Prompt diagnosis and treatment are vital for patient outcomes.
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