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Bladder Trauma
Matthew T. Heller, MD, FSAR; Michael P. Federle, MD, FACR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          TERMINOLOGY

          • Definitions

            • Bladder injury due to blunt, penetrating, or iatrogenic trauma

          IMAGING

          • General Features

            • Radiographic Findings

              • CT Findings

                • Ultrasonographic Findings

                  • Imaging Recommendations

                    DIFFERENTIAL DIAGNOSIS

                      PATHOLOGY

                      • General Features

                        • Gross Pathologic & Surgical Features

                          • Microscopic Features

                            CLINICAL ISSUES

                            • Presentation

                              • Natural History & Prognosis

                                • Treatment

                                  DIAGNOSTIC CHECKLIST

                                  • Consider

                                    • Image Interpretation Pearls

                                      Selected References

                                      1. Lehnert BE et al: Lower male genitourinary trauma: a pictorial review. Emerg Radiol. 21(1):67-74, 2014
                                      2. Patel BN et al: Imaging of iatrogenic complications of the urinary tract: kidneys, ureters, and bladder. Radiol Clin North Am. 52(5):1101-16, 2014
                                      3. Rai J et al: The urinary tract. BMJ. 348:g1141, 2014
                                      4. Guttmann I et al: Blunt bladder injury. Clin Sports Med. 32(2):239-46, 2013
                                      5. Ishak C et al: Bladder trauma: multidetector computed tomography cystography. Emerg Radiol. 18(4):321-7, 2011
                                      6. Nakamura LY et al: Urinary bladder injuries during vascular surgery. J Vasc Surg. 52(2):453-5, 2010
                                      7. Ramchandani P et al: Imaging of genitourinary trauma. AJR Am J Roentgenol. 192(6):1514-23, 2009
                                      8. Srinivasa RN et al: Genitourinary trauma: a pictorial essay. Emerg Radiol. 16(1):21-33, 2009
                                      9. Ingram MD et al: Urethral injuries after pelvic trauma: evaluation with urethrography. Radiographics. 28(6):1631-43, 2008
                                      10. Lee HJ et al: MDCT cystography for detection of vesicourethral leak after prostatectomy. AJR Am J Roentgenol. 191(6):1847-51, 2008
                                      11. Chan DP et al: CT cystography with multiplanar reformation for suspected bladder rupture: experience in 234 cases. AJR Am J Roentgenol. 187(5):1296-302, 2006
                                      12. Bigongiari LR et al: Trauma to the bladder and urethra. American College of Radiology. ACR Appropriateness Criteria. Radiology. 215 Suppl:733-40, 2000
                                      13. Deck AJ et al: Computerized tomography cystography for the diagnosis of traumatic bladder rupture. J Urol. 164(1):43-6, 2000
                                      14. Morgan DE et al: CT cystography: radiographic and clinical predictors of bladder rupture. AJR Am J Roentgenol. 174(1):89-95, 2000
                                      15. Vaccaro JP et al: CT cystography in the evaluation of major bladder trauma. Radiographics. 20(5):1373-81, 2000
                                      Related Anatomy
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                                      Related Differential Diagnoses
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                                      References
                                      Tables

                                      Tables

                                      KEY FACTS

                                      • Terminology

                                        • Imaging

                                          • Top Differential Diagnoses

                                            • Pathology

                                              TERMINOLOGY

                                              • Definitions

                                                • Bladder injury due to blunt, penetrating, or iatrogenic trauma

                                              IMAGING

                                              • General Features

                                                • Radiographic Findings

                                                  • CT Findings

                                                    • Ultrasonographic Findings

                                                      • Imaging Recommendations

                                                        DIFFERENTIAL DIAGNOSIS

                                                          PATHOLOGY

                                                          • General Features

                                                            • Gross Pathologic & Surgical Features

                                                              • Microscopic Features

                                                                CLINICAL ISSUES

                                                                • Presentation

                                                                  • Natural History & Prognosis

                                                                    • Treatment

                                                                      DIAGNOSTIC CHECKLIST

                                                                      • Consider

                                                                        • Image Interpretation Pearls

                                                                          Selected References

                                                                          1. Lehnert BE et al: Lower male genitourinary trauma: a pictorial review. Emerg Radiol. 21(1):67-74, 2014
                                                                          2. Patel BN et al: Imaging of iatrogenic complications of the urinary tract: kidneys, ureters, and bladder. Radiol Clin North Am. 52(5):1101-16, 2014
                                                                          3. Rai J et al: The urinary tract. BMJ. 348:g1141, 2014
                                                                          4. Guttmann I et al: Blunt bladder injury. Clin Sports Med. 32(2):239-46, 2013
                                                                          5. Ishak C et al: Bladder trauma: multidetector computed tomography cystography. Emerg Radiol. 18(4):321-7, 2011
                                                                          6. Nakamura LY et al: Urinary bladder injuries during vascular surgery. J Vasc Surg. 52(2):453-5, 2010
                                                                          7. Ramchandani P et al: Imaging of genitourinary trauma. AJR Am J Roentgenol. 192(6):1514-23, 2009
                                                                          8. Srinivasa RN et al: Genitourinary trauma: a pictorial essay. Emerg Radiol. 16(1):21-33, 2009
                                                                          9. Ingram MD et al: Urethral injuries after pelvic trauma: evaluation with urethrography. Radiographics. 28(6):1631-43, 2008
                                                                          10. Lee HJ et al: MDCT cystography for detection of vesicourethral leak after prostatectomy. AJR Am J Roentgenol. 191(6):1847-51, 2008
                                                                          11. Chan DP et al: CT cystography with multiplanar reformation for suspected bladder rupture: experience in 234 cases. AJR Am J Roentgenol. 187(5):1296-302, 2006
                                                                          12. Bigongiari LR et al: Trauma to the bladder and urethra. American College of Radiology. ACR Appropriateness Criteria. Radiology. 215 Suppl:733-40, 2000
                                                                          13. Deck AJ et al: Computerized tomography cystography for the diagnosis of traumatic bladder rupture. J Urol. 164(1):43-6, 2000
                                                                          14. Morgan DE et al: CT cystography: radiographic and clinical predictors of bladder rupture. AJR Am J Roentgenol. 174(1):89-95, 2000
                                                                          15. Vaccaro JP et al: CT cystography in the evaluation of major bladder trauma. Radiographics. 20(5):1373-81, 2000