60 years old male candidate for TURT

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Doctor's Information

Name : Morteza
Family : Sanei Taheri
Affiliation :Radiology Department,Shohada Tajrish Hospital,SBMU
Academic Degree : Associate Professor of Radiology
Email : This email address is being protected from spambots. You need JavaScript enabled to view it.
Resident : Mohadese Mahvari

Case Section

Urology and Genital Male Imaging

Patient's Information

Gender : Male
Age : 60

Clinical Summary

A 60 years old male admitted for turt due to gross hematuria

Imaging Findings

In CT cystography which done after TURT bladder wall irregularity and increasing thickness is seen.extravasation of bladder contrast to retzius space is because of iatrogenic bladder rupture that had caused extraperitoneal extravasation.

Differential Diagnosis

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Final Diagnosis

Extraperitoneal extravasation

Discussion (Related Text)

o Imaging findings
o Contrast flows into paracolic gutters
o Extraperitoneal bladder rupture is the most common type
o Occurs in 80% of bladder rupture cases
o Extraperitoneal bladder rupture generally secondary to adjacent pelvic fracture or an avulsion tear at fixation points of puboprostatic ligaments
o Intraperitoneal bladder rupture
o Usually iatrogenic or secondary to penetrating injury
o Blunt trauma more likely to result in intraperitoneal rupture in children than in adults
o Because the pediatric bladder is more intraperitoneal in location.
o The adult bladder dome remains mostly extraperitoneal
o Blunt trauma in an adult can result in intrape

References

1.Sagalowsky AI, Peters PC. Genitourinary trauma. In: Walsh PC, et al, eds. Campbell's Urology. 7th ed. Philadelphia, Pa: WBS; 1998:3104-8.