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Bladder Trauma
Kyle K. Jensen, MD; Matthew T. Heller, MD, FSAR
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KEY FACTS

  • Terminology

    • Imaging

      • Top Differential Diagnoses

        • Pathology

          • Clinical Issues

            • Diagnostic Checklist

              TERMINOLOGY

              • Definitions

                • Bladder injury due to blunt or penetrating trauma

              IMAGING

              • General Features

                • Radiographic Findings

                  • CT Findings

                    • Ultrasonographic Findings

                      • Imaging Recommendations

                        DIFFERENTIAL DIAGNOSIS

                          PATHOLOGY

                          • General Features

                            • Gross Pathologic & Surgical Features

                              CLINICAL ISSUES

                              • Presentation

                                • Natural History & Prognosis

                                  • Treatment

                                    DIAGNOSTIC CHECKLIST

                                    • Consider

                                      • Image Interpretation Pearls

                                        Selected References

                                        1. Wongwaisayawan S et al: Imaging spectrum of traumatic urinary bladder and urethral injuries. Abdom Radiol (NY). 46(2):681-91, 2021
                                        2. Joshi G et al: CT cystography for suspicion of traumatic urinary bladder injury: indications, technique, findings, and pitfalls in diagnosis: RadioGraphics Fundamentals. Radiographics. 38(1):92-3, 2018
                                        3. Dane B et al: Imaging genitourinary trauma. Radiol Clin North Am. 55(2):321-35, 2017
                                        4. Lehnert BE et al: Lower male genitourinary trauma: a pictorial review. Emerg Radiol. 21(1):67-74, 2014
                                        5. 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
                                        6. Rai J et al: The urinary tract. BMJ. 348:g1141, 2014
                                        7. Guttmann I et al: Blunt bladder injury. Clin Sports Med. 32(2):239-46, 2013
                                        8. Ishak C et al: Bladder trauma: multidetector computed tomography cystography. Emerg Radiol. 18(4):321-7, 2011
                                        9. Nakamura LY et al: Urinary bladder injuries during vascular surgery. J Vasc Surg. 52(2):453-5, 2010
                                        10. Ramchandani P et al: Imaging of genitourinary trauma. AJR Am J Roentgenol. 192(6):1514-23, 2009
                                        11. Srinivasa RN et al: Genitourinary trauma: a pictorial essay. Emerg Radiol. 16(1):21-33, 2009
                                        12. Ingram MD et al: Urethral injuries after pelvic trauma: evaluation with urethrography. Radiographics. 28(6):1631-43, 2008
                                        13. Lee HJ et al: MDCT cystography for detection of vesicourethral leak after prostatectomy. AJR Am J Roentgenol. 191(6):1847-51, 2008
                                        14. 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
                                        15. Bigongiari LR et al: Trauma to the bladder and urethra. American College of Radiology. ACR Appropriateness Criteria. Radiology. 215 Suppl:733-40, 2000
                                        16. Deck AJ et al: Computerized tomography cystography for the diagnosis of traumatic bladder rupture. J Urol. 164(1):43-6, 2000
                                        17. Morgan DE et al: CT cystography: radiographic and clinical predictors of bladder rupture. AJR Am J Roentgenol. 174(1):89-95, 2000
                                        18. 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

                                                • Clinical Issues

                                                  • Diagnostic Checklist

                                                    TERMINOLOGY

                                                    • Definitions

                                                      • Bladder injury due to blunt or penetrating trauma

                                                    IMAGING

                                                    • General Features

                                                      • Radiographic Findings

                                                        • CT Findings

                                                          • Ultrasonographic Findings

                                                            • Imaging Recommendations

                                                              DIFFERENTIAL DIAGNOSIS

                                                                PATHOLOGY

                                                                • General Features

                                                                  • Gross Pathologic & Surgical Features

                                                                    CLINICAL ISSUES

                                                                    • Presentation

                                                                      • Natural History & Prognosis

                                                                        • Treatment

                                                                          DIAGNOSTIC CHECKLIST

                                                                          • Consider

                                                                            • Image Interpretation Pearls

                                                                              Selected References

                                                                              1. Wongwaisayawan S et al: Imaging spectrum of traumatic urinary bladder and urethral injuries. Abdom Radiol (NY). 46(2):681-91, 2021
                                                                              2. Joshi G et al: CT cystography for suspicion of traumatic urinary bladder injury: indications, technique, findings, and pitfalls in diagnosis: RadioGraphics Fundamentals. Radiographics. 38(1):92-3, 2018
                                                                              3. Dane B et al: Imaging genitourinary trauma. Radiol Clin North Am. 55(2):321-35, 2017
                                                                              4. Lehnert BE et al: Lower male genitourinary trauma: a pictorial review. Emerg Radiol. 21(1):67-74, 2014
                                                                              5. 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
                                                                              6. Rai J et al: The urinary tract. BMJ. 348:g1141, 2014
                                                                              7. Guttmann I et al: Blunt bladder injury. Clin Sports Med. 32(2):239-46, 2013
                                                                              8. Ishak C et al: Bladder trauma: multidetector computed tomography cystography. Emerg Radiol. 18(4):321-7, 2011
                                                                              9. Nakamura LY et al: Urinary bladder injuries during vascular surgery. J Vasc Surg. 52(2):453-5, 2010
                                                                              10. Ramchandani P et al: Imaging of genitourinary trauma. AJR Am J Roentgenol. 192(6):1514-23, 2009
                                                                              11. Srinivasa RN et al: Genitourinary trauma: a pictorial essay. Emerg Radiol. 16(1):21-33, 2009
                                                                              12. Ingram MD et al: Urethral injuries after pelvic trauma: evaluation with urethrography. Radiographics. 28(6):1631-43, 2008
                                                                              13. Lee HJ et al: MDCT cystography for detection of vesicourethral leak after prostatectomy. AJR Am J Roentgenol. 191(6):1847-51, 2008
                                                                              14. 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
                                                                              15. Bigongiari LR et al: Trauma to the bladder and urethra. American College of Radiology. ACR Appropriateness Criteria. Radiology. 215 Suppl:733-40, 2000
                                                                              16. Deck AJ et al: Computerized tomography cystography for the diagnosis of traumatic bladder rupture. J Urol. 164(1):43-6, 2000
                                                                              17. Morgan DE et al: CT cystography: radiographic and clinical predictors of bladder rupture. AJR Am J Roentgenol. 174(1):89-95, 2000
                                                                              18. Vaccaro JP et al: CT cystography in the evaluation of major bladder trauma. Radiographics. 20(5):1373-81, 2000