Presentation
Presents for hematuria and chronic renal disease.
Patient Data
An excretory urogram (not shown) and a cystourethrogram were performed due to inability to pass the cystoscope through the urethra past a polypoid structure. The urethra appears normal in diameter. The kidneys are dilated with no specific site of ureteral obstruction identified. There is extravasation of contrast medium from the ventral bladder wall. The apex of the bladder is thickened. Contrast is opacifying the fluid in the peritoneal space.
Ruptured bladder and bilateral ureteral obstruction.
Case Discussion
A CT examination showed a calculus in the right ureter. Cystitis with high bacterial load (Enterococcus, E. coli, Streptococcus). Peritonitis secondary to bladder rupture. The bladder rupture was repaired, and a calculus removed from the right ureter. The calculus was composed of dried solidified blood.
Unable to process the form. Check for errors and try again.