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- W2018672671 abstract "An intoxicated 21-year-old man drove his car into a lamp-post at 40 miles per h (64 km per h). A contrast-enhanced CT scan of the abdomen, done before insertion of a urinary catheter, showed perisplenic, perihepatic, and pelvic fluid, without solid organ injury or free intraperitoneal gas. Delayed images showed contrast filling the bladder with no extravasation (figure, A). Persistent abdominal tenderness necessitated a diagnostic laparoscopy, which showed a 7 cm transverse intraperitoneal rupture of the dome of the bladder (figure, B). The catheter had remained within the bladder and continued to drain urine. The tear in the bladder was sutured at laparotomy and the patient made an uncomplicated recovery. Blunt abdominal trauma with a full bladder can lead to a bladder rupture which may be missed on a CT scan because contrast, being denser than urine, settles in the dependent part of the bladder and may not extravasate." @default.
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- W2018672671 modified "2023-09-27" @default.
- W2018672671 title "A man who got “bladdered”" @default.
- W2018672671 doi "https://doi.org/10.1016/s0140-6736(08)61553-6" @default.
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