case_images: PMC9628684_01
case_images: Initial pelvic CT scan demonstrating a decompressed bladder, pelvic fractures, and small dots of air in the extraperitoneal space anterior to the bladder.
case_images: tsaco-2022-001033f01.jpg
case_images: PMC9628684_01_tsaco-2022-001033f01.jpg
case_images: F1
case_images: CT imaging was performed, which revealed multiple left-side rib fractures, small volume intraperitoneal fluid layering in right paracolic gutter and complex pelvic fractures with a decompressed bladder (figure 1).
case_images: Dry CT scan prior to instillation of bladder contrast for CT cystogram showing previously administered IV contrast pooling in the extraperitoneal space.
case_images: tsaco-2022-001033f02.jpg
case_images: PMC9628684_01_tsaco-2022-001033f02.jpg
case_images: F2
case_images: Prior to administration of contrast into the bladder, the non-infused CT scan revealed concern for a urethral and bladder base injury with extensive contrast in the extraperitoneal space (figure 2).
case_images: Dry CT scan prior to instillation of bladder contrast for CT cystogram. Previously given IV contrast is seen in the bladder and distal small bowel.
case_images: tsaco-2022-001033f03.jpg
case_images: PMC9628684_01_tsaco-2022-001033f03.jpg
case_images: F3
case_images: The Foley catheter extended into the urethral defect, and there was contrast in the distal small bowel (figure 3).