| The Value of Delayed KUB and Abdominoplevic CT in the Diagnosis of Bladder Rupture |
| Young Joon Kang, Wook Jin, Yong Su Lim, Jae Kwang Kim, Eell Ryoo, Sung Youl Hyun, Hyuk Jun Yang, Gun Lee, Sun Sik Min |
1Department of Emergency Medicine, Gil Medical Center, Gacheon Medical School.
2Department of Diagnostic Radiology, Gil Medical Center, Gacheon Medical School. jinooki@hitel.net |
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| ABSTRACT |
PURPOSE:
Retrograde cystography is the method of choice for the diagnosis of bladder rupture, but recently usage of abdominopelvic CTs has increased at emergency rooms (ERs).
METHODS:
We reviewed the medical records and radiographs of 36 patients with bladder rupture. Of these, twenty seven patients underwent abdominopelvic CT, delayed kidney-ureter-bladder, and retrograde cystography. Delayed KUB was done about 30 minutes after the abdominopelvic CT.
RESULTS:
Of the 36 patients with bladder ruptures, 25 had intraperitoneal bladder ruptures, and 9 had extraperitoneal ruptures. One patient had a bladder contusion, and the last patient had combined bladder rupture with intraperitoneal and extraperitoneal ruptures. The abdominopelvic CTs for the bladder rupture patients showed ascites with low density, bladder-wall thickening, perivesical fluid, and irregular bladder contour. In the 24 patients who underwent delayed KUB, spillage of dye was noted intraperitoneal or extraperitoneal cavity.
CONCLUSION:
If abdominopelvic CT shows ascites with low density, bladder-wall thickening, perivesical fluid, and/or an irregular bladder contour, then a delayed KUB would be a useful method for diagnosing the bladder rupture. |
| Key words:
Bladder, Rupture, Computed tomography |
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