Shoaib Raja Farhat, Anwar Fahim, Barron Dominic
9 The Maples, Stevenage Road, Hitchin, Herts, UK.
J Pak Med Assoc. 2008 May;58(5):277-8.
Extra peritoneal bladder injuries are very difficult to diagnose on clinical examination alone. CT-scan with cystogram (Contrast: Ultavista300) is a reliable diagnostic tool to evaluate such injuries at an early stage. For accurate diagnosis of bladder injury, enhancement of bladder contents is necessary otherwise extravasated urine can be mistaken for haematoma or ascites. Retrograde filling of bladder with minimum 250 -300 ml of contrast material is necessary before performing abdominopelvic CT to rule out any form of bladder injury. Therefore in case of suspected bladder injury CT cystogram should be performed at the time of initial CT examination in the emergency room. We report a case of extraperitoneal bladder injury and foreign body in urinary bladder after a firework injury.
仅通过临床检查很难诊断腹膜外膀胱损伤。CT膀胱造影扫描（造影剂：Ultavista300）是早期评估此类损伤的可靠诊断工具。为准确诊断膀胱损伤，膀胱内容物的强化是必要的，否则外渗的尿液可能被误诊为血肿或腹水。在进行腹部盆腔CT之前，用至少250 - 300毫升造影剂逆行充盈膀胱以排除任何形式的膀胱损伤是必要的。因此，在怀疑有膀胱损伤的情况下，应在急诊室进行初次CT检查时同时进行CT膀胱造影。我们报告一例烟花爆炸伤后腹膜外膀胱损伤及膀胱内异物的病例。
