PGIMER, Chandigarh, India.
Ann R Coll Surg Engl. 2022 Feb;104(2):35-36. doi: 10.1308/rcsann.2021.0150. Epub 2021 Nov 26.
Extraperitoneal bladder rupture is the most common type of bladder injury following pelvic trauma and is seen in 80-90% of cases. Generally, the contrast extravasation seen on computed tomography (CT) cystography is confined to the perivesical space, giving a characteristic flame-shaped appearance. Occasionally contrast extravasation can extend to the scrotum, thigh or anterior abdominal wall, depending on the extent of injury. Here we report an unusual CT cystogram finding of complex extraperitoneal bladder rupture with associated pelvic fracture urethral distraction defect, showing large-volume contrast extravasation extending beyond the perivesical space to the left perinephric region resembling high rising flames.
腹膜外膀胱破裂是骨盆创伤后最常见的膀胱损伤类型，占 80-90%。一般情况下，CT 膀胱造影中可见的造影剂外渗仅限于膀胱周围间隙，呈现典型的火焰状外观。偶尔，根据损伤程度，造影剂外渗可延伸至阴囊、大腿或前腹壁。在此，我们报告了一例罕见的 CT 膀胱造影表现，即伴有骨盆骨折尿道分离缺陷的复杂腹膜外膀胱破裂，显示大体积造影剂外渗超出膀胱周围间隙，延伸至左肾周区域，类似于高起的火焰。
