case_images: PMC3350004_01
case_images: Computed tomography scan of the abdomen showed air in the bladder and the thickened bladder wall, associated with air intra- and retroperitoneally.
case_images: CRIM.UROLOGY2011-280426.001.jpg
case_images: PMC3350004_01_CRIM.UROLOGY2011-280426.001.jpg
case_images: fig1
case_images: Furthermore, bilateral pleural fluid, some free fluid in the peritoneal cavity, and a few dilated jejunal segments without characteristics of bowel ischemia were seen (Figures 1(a) and 1(b)).
case_images: Patient developed a reddishness of the suprapubic region.
case_images: CRIM.UROLOGY2011-280426.002.jpg
case_images: PMC3350004_01_CRIM.UROLOGY2011-280426.002.jpg
case_images: fig2
case_images: A few hours later he was transferred to the intensive care unit (ICU) since he became more septic (hypotensive, tachycardiac, tachypneic) and developed a reddishness of the suprapubic region (Figure 2).
case_images: Zone of reddishness expanded up to the flanks bilaterally.
case_images: CRIM.UROLOGY2011-280426.003.jpg
case_images: PMC3350004_01_CRIM.UROLOGY2011-280426.003.jpg
case_images: fig3
case_images: Contrary to the clinical improvement, the zone of reddishness expanded up to the flanks bilaterally (Figure 3).
case_images: Control computed tomography scan of the abdomen showed necrosis of the bladder wall, predominantly the bladder dome and right bladder wall, with associated peritonitis signs.
case_images: CRIM.UROLOGY2011-280426.004.jpg
case_images: PMC3350004_01_CRIM.UROLOGY2011-280426.004.jpg
case_images: fig4
case_images: A control computed tomography scan of the abdomen showed necrosis of the bladder wall, predominantly the bladder dome and right bladder wall, with associated peritonitis signs (Figures 4(a) and 4(b)).
case_images: A cystography three weeks postoperatively showed some contrast extravasation into the space of Retzius.
case_images: CRIM.UROLOGY2011-280426.005.jpg
case_images: PMC3350004_01_CRIM.UROLOGY2011-280426.005.jpg
case_images: fig5
case_images: A cystography three weeks postoperatively showed some contrast extravasation into the space of Retzius (Figures 5(a) and 5(b)).
case_images: A control cystography six weeks postoperatively revealed no contrast leakage anymore.
case_images: CRIM.UROLOGY2011-280426.006.jpg
case_images: PMC3350004_01_CRIM.UROLOGY2011-280426.006.jpg
case_images: fig6
case_images: A control cystography one week later revealed no contrast leakage anymore (Figure 6).