title: Delayed presentation of intravesical bone penetration after pelvic ring fracture.
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.
authors.affiliation: Department of Urology, Chung-Ang University College of Medicine, Seoul, Korea.
authors.forename: Jung Hoon
authors.initials: JH
authors.lastname: Kim
authors.forename: Yong-Chan
authors.initials: YC
authors.lastname: Ha
authors.forename: Tae-Hyoung
authors.initials: TH
authors.lastname: Kim
authors.forename: Soon Chul
authors.initials: SC
authors.lastname: Myung
authors.forename: Young Tae
authors.initials: YT
authors.lastname: Moon
authors.forename: Kyung Do
authors.initials: KD
authors.lastname: Kim
authors.forename: In Ho
authors.initials: IH
authors.lastname: Chang
keywords: Delayed diagnosis; Injuries; Pelvic bones; Urinary bladder