Bladder Trauma: Facts - Usually not isolated injuries but associated with other injuries - Mortality reported in up to 44% of patients but obviously relates to other injuries as well - CT cystography is needed and has an accuracy approaching 100% for bladder injury - 80% of injuries are extraperitoneal and most patients do well as the injury is often self limiting with conservative management - 20% of injuries are intraperitoneal and require surgical repair to prevent urine peritonitis
“ Multidetector computed tomography (MDCT) cystography is rapidly becoming the most recommended study for evaluation of the bladder for suspected trauma.” Bladder trauma: multidetector computed tomography cystography Ishak C, Kanth N Emerg Radiol (2011) 18:321-327
Bladder Trauma: Facts - 10% of GU system injuries are to the bladder - Bladder injures occur in 1.6% of blunt abdominal trauma cases - Bladder rupture occurs in 2-11% of patients with pelvic fractures - 60-90% of patients with bladder rupture have a pelvic fracture
