Bladder Trauma

  • Etiology: blunt abdominal trauma
  • Imaging: see extravasated urinary contrast – intraperitoneal rupture into peritoneum, extraperitoneal rupture into peri- and pre-vesical spaces
  • Clinical: in < 1% of patients, usually associated with pelvic fracture or lap belt ecchymoses

Cases of Bladder Trauma

CT of bladder trauma / bladder perforation
Axial CT with contrast of the abdomen shows bilateral pubic rami fracture (above) with a Foley catheter in the center of the bladder and contrast extravasating out of the bladder into the perivesical space (below).