Delayed Presentation of Intravesical Bone Penetration after Pelvic Ring Fracture.
10.4111/kju.2012.53.12.887
- Author:
Jung Hoon KIM
1
;
Yong Chan HA
;
Tae Hyoung KIM
;
Soon Chul MYUNG
;
Young Tae MOON
;
Kyung Do KIM
;
In Ho CHANG
Author Information
1. Department of Urology, Chung-Ang University College of Medicine, Seoul, Korea. caucih@cau.ac.kr
- Publication Type:Case Report
- Keywords:
Delayed diagnosis;
Injuries;
Pelvic bones;
Urinary bladder
- MeSH:
Cystoscopy;
Delayed Diagnosis;
Humans;
Pelvic Bones;
Rupture;
Urinary Bladder
- From:Korean Journal of Urology
2012;53(12):887-889
- CountryRepublic of Korea
- Language:English
-
Abstract:
Retrograde cystography and computed tomography (CT) are considered the gold standard for investigating bladder and pelvic bone injury. However, these methods can miss extraperitoneal bladder rupture caused by a penetrating bone fragment from a pelvic bone fracture. We experienced a routine conventional cystography and CT scan that failed to identify penetration of the bladder by a bone fragment, which thus delayed optimal treatment. Therefore, different diagnostic methods such as CT cystography or cystoscopy should be considered to rule out penetrating injury by a bony fragment in patients with extraperitoneal bladder rupture.
