case_images: PMC6312620_01
case_images: Contrast-enhanced CT: pelvic fracture and pelvic hematoma. The bladder cannot be assessed.
case_images: CRIU2018-3216527.001.jpg
case_images: PMC6312620_01_CRIU2018-3216527.001.jpg
case_images: fig1
case_images: The kidneys were normal and the bladder was empty (Figure 1).
case_images: Bladder displaced upwards by the pelvic hematoma. Poor bladder filling with contrast extravasation in the peritoneal cavity.
case_images: CRIU2018-3216527.002.jpg
case_images: PMC6312620_01_CRIU2018-3216527.002.jpg
case_images: fig2
case_images: A follow-up abdominopelvic CT-scan with excretory phase (14h after admission) demonstrated a nearly empty and upwards displaced bladder, with contrast extravasation into the peritoneal cavity (Figure 2).
case_images: Cystography 10 days after surgical exploration and repair of the bladder injury. Note: the bladder is located high in the pelvis.
case_images: CRIU2018-3216527.003.jpg
case_images: PMC6312620_01_CRIU2018-3216527.003.jpg
case_images: fig3
case_images: Ten days after laparotomy, a cystography proved integrity of the bladder wall repair (Figure 3).
case_images: Combined retrograde urethrography (left) and antegrade cystourethrography 3 months after trauma and before urethroplasty.
case_images: CRIU2018-3216527.004.jpg
case_images: PMC6312620_01_CRIU2018-3216527.004.jpg
case_images: fig4
case_images: Suprapubic drainage was maintained and combined retrograde and antegrade cystourethrography performed at 3 months showed a complete obliteration of the membranous urethra (Figure 4).
case_images: Voiding cystourethrogram 2 weeks after anastomotic repair urethroplasty.
case_images: CRIU2018-3216527.005.jpg
case_images: PMC6312620_01_CRIU2018-3216527.005.jpg
case_images: fig5
case_images: The postoperative course was uneventful, voiding cystourethrogram (2 weeks after urethroplasty) proved no urethral extravasation and the catheter was removed (Figure 5).
case_images: PMC6312620_02
case_images: Unstable pelvic fracture with pelvic hematoma. Intraperitoneal free fluid.
case_images: CRIU2018-3216527.006.jpg
case_images: PMC6312620_02_CRIU2018-3216527.006.jpg
case_images: fig6
case_images: Hemodynamic resuscitation was started and urgent contrast-enhanced CT was performed which revealed an unstable pelvic fracture together with large amounts of free fluid in the peritoneal cavity (Figure 6).
case_images: Conventional cystography: massive extraperitoneal extravasation at the bladder neck.
case_images: CRIU2018-3216527.007.jpg
case_images: PMC6312620_02_CRIU2018-3216527.007.jpg
case_images: fig7
case_images: A conventional cystogram demonstrated massive extraperitoneal extravasation at the bladder neck (Figure 7).
case_images: Postoperative cystography: full bladder wall integrity.
case_images: CRIU2018-3216527.008.jpg
case_images: PMC6312620_02_CRIU2018-3216527.008.jpg
case_images: fig8
case_images: The postoperative course was uneventful and after 16 days, a pericatheter voiding cystourethrography demonstrated complete healing of the bladder wall (Figure 8).