Bladder trauma - Revision history

Rossdonaldson1: /* Disposition */

2023-05-03T17:37:52Z

Disposition

← Older revision		Revision as of 17:37, 3 May 2023
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	==Disposition==		==Disposition==
			*Admit

	==See Also==		==See Also==

Rossdonaldson1: /* Evaluation */

2023-05-03T17:37:27Z

Evaluation

← Older revision		Revision as of 17:37, 3 May 2023
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	[[File:PMC4897093 gr3b.png\|thumb\|Male with scrotal gunshot wound. Axial image of the pelvis during CT cystogram demonstrates contrast extravasating through a perforation in the posterior wall of the bladder (arrow).]]		[[File:PMC4897093 gr3b.png\|thumb\|Male with scrotal gunshot wound. Axial image of the pelvis during CT cystogram demonstrates contrast extravasating through a perforation in the posterior wall of the bladder (arrow).]]
	===Workup===		===Workup===
			*Retrograde cystogram (CT or plain film) indicated for:
			**Gross hematuria
			**Inability to void
			**Pelvic fracture in associated with microscopic hematuria
			**Clinical suspicion of bladder injury
			**Penetrating injuries of the buttock, pelvis, or lower abdomen with any hematuria

	===Diagnosis===		===Diagnosis===
	*~~Imaging~~		*Typically made on retrograde cystogram
	**Retrograde cystogram ~~(CT or plain film) indicated for:~~		**CT A/P with IV contrast NOT sensitive enough for bladder rupture: bladder must be distended with 350 mL contrast
	***Gross hematuria
	***Inability to void
	***Pelvic fracture in associated with microscopic hematuria
	***Clinical suspicion of bladder injury
	***Penetrating injuries of the buttock, pelvis, or lower abdomen with any hematuria
	**CT A/P with IV contrast NOT sensitive enough for bladder rupture: bladder must be distended with ~~350mL~~ contrast

	==Management==		==Management==

Rossdonaldson1 at 17:36, 3 May 2023

2023-05-03T17:36:05Z

← Older revision		Revision as of 17:36, 3 May 2023
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	**Intraperitoneal		**Intraperitoneal
	***Associated with compressive force in presence of full bladder		***Associated with compressive force in presence of full bladder

			==Differential Diagnosis==
			{{Lower GU trauma DDX}}

	==Evaluation==		==Evaluation==
	[[File:PMC3407438 jls0011228380001.png\|thumb\|Retrograde cystogram. Bladder filled with contrast (bottom arrow). Extravasation of contrast (top arrow).]]		[[File:PMC3407438 jls0011228380001.png\|thumb\|Retrograde cystogram. Bladder filled with contrast (bottom arrow). Extravasation of contrast (top arrow).]]
	[[File:PMC4897093 gr3b.png\|thumb\|Male with scrotal gunshot wound. Axial image of the pelvis during CT cystogram demonstrates contrast extravasating through a perforation in the posterior wall of the bladder (arrow).]]		[[File:PMC4897093 gr3b.png\|thumb\|Male with scrotal gunshot wound. Axial image of the pelvis during CT cystogram demonstrates contrast extravasating through a perforation in the posterior wall of the bladder (arrow).]]
			===Workup===

			===Diagnosis===
	*Imaging		*Imaging
	**Retrograde cystogram (CT or plain film) indicated for:		**Retrograde cystogram (CT or plain film) indicated for:
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	***Penetrating injuries of the buttock, pelvis, or lower abdomen with any hematuria		***Penetrating injuries of the buttock, pelvis, or lower abdomen with any hematuria
	**CT A/P with IV contrast NOT sensitive enough for bladder rupture: bladder must be distended with 350mL contrast		**CT A/P with IV contrast NOT sensitive enough for bladder rupture: bladder must be distended with 350mL contrast

	~~==Differential Diagnosis==~~
	~~{{Lower GU trauma DDX}}~~

	==Management==		==Management==
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	*Intraperitoneal Rupture		*Intraperitoneal Rupture
	**Operative management		**Operative management

			==Disposition==

	==See Also==		==See Also==
	*[[GU Trauma]]		*[[GU Trauma]]

			==External Links==

			==References==
			<references/>
	[[Category:Trauma]]		[[Category:Trauma]]
	[[Category:Urology]]		[[Category:Urology]]

Rossdonaldson1: /* Evaluation */

2023-05-03T17:34:17Z

Evaluation

← Older revision		Revision as of 17:34, 3 May 2023
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	==Evaluation==		==Evaluation==
			[[File:PMC3407438 jls0011228380001.png\|thumb\|Retrograde cystogram. Bladder filled with contrast (bottom arrow). Extravasation of contrast (top arrow).]]
	[[File:PMC4897093 gr3b.png\|thumb\|Male with scrotal gunshot wound. Axial image of the pelvis during CT cystogram demonstrates contrast extravasating through a perforation in the posterior wall of the bladder (arrow).]]		[[File:PMC4897093 gr3b.png\|thumb\|Male with scrotal gunshot wound. Axial image of the pelvis during CT cystogram demonstrates contrast extravasating through a perforation in the posterior wall of the bladder (arrow).]]
	*Imaging		*Imaging

Rossdonaldson1: /* Background */

2023-05-03T17:31:45Z

Background

← Older revision		Revision as of 17:31, 3 May 2023
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	[[File:Urinary system.png\|thumb\|'''(1) Human urinary system:''' (2) kidney; (3) renal pelvis; (4) ureter; (5) urinary bladder (6) urethra. <Br>'''Additional structures:''' (7) adrenal gland; (8) renal artery and vein; (9) inferior vena cava; (10) abdominal aorta; (11) common iliac artery and vein; (12) liver; (13) large intestine; (14) pelvis.]]		[[File:Urinary system.png\|thumb\|'''(1) Human urinary system:''' (2) kidney; (3) renal pelvis; (4) ureter; (5) urinary bladder (6) urethra. <Br>'''Additional structures:''' (7) adrenal gland; (8) renal artery and vein; (9) inferior vena cava; (10) abdominal aorta; (11) common iliac artery and vein; (12) liver; (13) large intestine; (14) pelvis.]]
	[[File:2605 The Bladder.jpg\|thumb\|Anatomy of the male bladder, showing transitional epithelium and part of the wall in a histological cut-out.]]		[[File:2605 The Bladder.jpg\|thumb\|Anatomy of the male bladder, showing transitional epithelium and part of the wall in a histological cut-out.]]
			[[File:PMC4897093 gr3a.png\|thumb\|Axial image of the pelvis during CT cystogram demonstrates contrast surrounding the bowel (arrowheads) which is diagnostic of intraperitoneal bladder rupture. Bone fragments from GSW are also present in the L5 left lateral recess (arrow).]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Evaluation */

2023-05-03T17:25:59Z

Evaluation

← Older revision		Revision as of 17:25, 3 May 2023
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	==Evaluation==		==Evaluation==
			[[File:PMC4897093 gr3b.png\|thumb\|Male with scrotal gunshot wound. Axial image of the pelvis during CT cystogram demonstrates contrast extravasating through a perforation in the posterior wall of the bladder (arrow).]]
	*Imaging		*Imaging
	**Retrograde cystogram (CT or plain film) indicated for:		**Retrograde cystogram (CT or plain film) indicated for:

Rossdonaldson1: /* Background */

2023-05-03T17:20:57Z

Background

← Older revision		Revision as of 17:20, 3 May 2023
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	==Background==		==Background==
	[[File:Urinary system.png\|thumb\|'''(1) Human urinary system:''' (2) kidney; (3) renal pelvis; (4) ureter; (5) urinary bladder (6) urethra. <Br>'''Additional structures:''' (7) adrenal gland; (8) renal artery and vein; (9) inferior vena cava; (10) abdominal aorta; (11) common iliac artery and vein; (12) liver; (13) large intestine; (14) pelvis.]]		[[File:Urinary system.png\|thumb\|'''(1) Human urinary system:''' (2) kidney; (3) renal pelvis; (4) ureter; (5) urinary bladder (6) urethra. <Br>'''Additional structures:''' (7) adrenal gland; (8) renal artery and vein; (9) inferior vena cava; (10) abdominal aorta; (11) common iliac artery and vein; (12) liver; (13) large intestine; (14) pelvis.]]
			[[File:2605 The Bladder.jpg\|thumb\|Anatomy of the male bladder, showing transitional epithelium and part of the wall in a histological cut-out.]]

	==Clinical Features==		==Clinical Features==

Rossdonaldson1: /* Background */

2023-05-03T17:19:20Z

Background

← Older revision		Revision as of 17:19, 3 May 2023
Line 1:		Line 1:
	==Background==		==Background==
			[[File:Urinary system.png\|thumb\|'''(1) Human urinary system:''' (2) kidney; (3) renal pelvis; (4) ureter; (5) urinary bladder (6) urethra. <Br>'''Additional structures:''' (7) adrenal gland; (8) renal artery and vein; (9) inferior vena cava; (10) abdominal aorta; (11) common iliac artery and vein; (12) liver; (13) large intestine; (14) pelvis.]]

	==Clinical Features==		==Clinical Features==

Chungirv: /* Evaluation */

2017-08-10T18:51:38Z

Evaluation

← Older revision		Revision as of 18:51, 10 August 2017
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	***Clinical suspicion of bladder injury		***Clinical suspicion of bladder injury
	***Penetrating injuries of the buttock, pelvis, or lower abdomen with any hematuria		***Penetrating injuries of the buttock, pelvis, or lower abdomen with any hematuria
	**CT A/P with IV contrast NOT sensitive enough for bladder rupture		**CT A/P with IV contrast NOT sensitive enough for bladder rupture: bladder must be distended with 350mL contrast

	==Differential Diagnosis==		==Differential Diagnosis==

Lisayee25: /* Evaluation */

2017-07-19T21:40:46Z

Evaluation

← Older revision		Revision as of 21:40, 19 July 2017
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	*Imaging		*Imaging
	**Retrograde cystogram (CT or plain film) indicated for:		**Retrograde cystogram (CT or plain film) indicated for:
	**Gross hematuria		***Gross hematuria
	***Inability to void		***Inability to void
	***Pelvic fracture in associated with microscopic hematuria		***Pelvic fracture in associated with microscopic hematuria
	***Clinical suspicion of bladder injury		***Clinical suspicion of bladder injury
			***Penetrating injuries of the buttock, pelvis, or lower abdomen with any hematuria
	**CT A/P with IV contrast NOT sensitive enough for bladder rupture		**CT A/P with IV contrast NOT sensitive enough for bladder rupture