Bladder perforation post-transurethral resection of a bladder tumor
Diagnosis almost certain
Presentation
Abdominal pain and urinary retention post-transurethral resection of a bladder tumor.
Patient Data
Age: 60 years
Gender: Male
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Intra- and extraperitoneal free fluid and locules of free gas mainly surrounding the bladder.
15 mins delayed
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The delayed study demonstrates extravasation of contrast from the bladder with a lead point identified in the dome of the bladder, best seen in the last key image.
Case Discussion
This case demonstrates bladder perforation post-transurethral resection of a bladder tumor. If reviewed on the table, a delayed phase can also be performed to ensure a correct diagnosis and identify where the site of perforation is.
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