Delayed Presentation of Intravesical Bone Penetration after Pelvic Ring Fracture
김정훈, 하용찬, 김태형, 명순철, 문영태, 김경도, 장인호,
소속 상세정보
김정훈 ( Kim Jung-Hoon )
Chung-Ang University College of Medicine Department of Urology
하용찬 ( Ha Yong-Chan )
Chung-Ang University College of Medicine Department of Orthopaedic Surgery
김태형 ( Kim Tae-Hyoung )
Chung-Ang University College of Medicine Department of Urology
명순철 ( Myung Soon-Chul )
Chung-Ang University College of Medicine Department of Urology
문영태 ( Moon Young-Tae )
Chung-Ang University College of Medicine Department of Urology
김경도 ( Kim Kyung-Do )
Chung-Ang University College of Medicine Department of Urology
장인호 ( Chang In-Ho )
Chung-Ang University College of Medicine Department of Urology
KMID : 0358320120530120887
Abstract
Retrograde cystography and computed tomography (CT) are considered the gold standard for investigating bladder and pelvic bone injury. However, these methods can miss extraperitoneal bladder rupture caused by a penetrating bone fragment from a pelvic bone fracture. We experienced a routine conventional cystography and CT scan that failed to identify penetration of the bladder by a bone fragment, which thus delayed optimal treatment. Therefore, different diagnostic methods such as CT cystography or cystoscopy should be considered to rule out penetrating injury by a bony fragment in patients with extraperitoneal bladder rupture.
키워드
Delayed diagnosis; Injuries; Pelvic bones; Urinary bladder
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