The Value of Delayed KUB and Abdominoplevic CT in the Diagnosis of Bladder Rupture.
- Author:
Young Joon KANG
1
;
Wook JIN
;
Yong Su LIM
;
Jae Kwang KIM
;
Eell RYOO
;
Sung Youl HYUN
;
Hyuk Jun YANG
;
Gun LEE
;
Sun Sik MIN
Author Information
1. Department of Emergency Medicine, Gil Medical Center, Gacheon Medical School.
- Publication Type:Original Article
- Keywords:
Bladder;
Rupture;
Computed tomography
- MeSH:
Ascites;
Contusions;
Diagnosis*;
Emergency Service, Hospital;
Humans;
Medical Records;
Rupture*;
Urinary Bladder*
- From:Journal of the Korean Society of Emergency Medicine
2005;16(1):122-127
- CountryRepublic of Korea
- Language:Korean
-
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.
