Evaluation of pediatric bladder reservoir trauma

Pediatr Emerg Care. 2004 Nov;20(11):803-4. doi: 10.1097/01.pec.0000144928.05940.e2.


We present a case where computed tomographic cystography of the bladder failed to identify a bladder rupture in a girl with an Indiana pouch after falling from her bicycle. Despite the normal cystogram, surgery was performed because of unresolving abdominal pain and free fluid identified on abdominal computed tomography. Upon exploration, 2 intraperitoneal ruptures were identified. While computed tomographic cystography is accurate for the evaluation of trauma in a normal bladder, emergency room physicians should be aware of its potential inaccuracy in patients with bladder reservoirs.

Publication types

  • Case Reports
  • Letter

MeSH terms

  • Child
  • Female
  • Humans
  • Rupture
  • Tomography, X-Ray Computed
  • Urinary Bladder / diagnostic imaging*
  • Urinary Bladder / injuries*
  • Urinary Reservoirs, Continent*