Limitations of routine spiral computerized tomography in the evaluation of bladder trauma.
J Urol
; 162(1): 51-2, 1999 Jul.
Article
en En
| MEDLINE
| ID: mdl-10379738
ABSTRACT
PURPOSE:
We evaluate the accuracy of spiral computerized tomography (CT) in diagnosing traumatic bladder rupture. MATERIALS ANDMETHODS:
Medical records of 24 consecutive patients diagnosed with traumatic bladder rupture at our level 1 trauma center from 1993 to 1998 were retrospectively reviewed. Of the patients 15 underwent retrograde cystography and spiral CT of the abdomen and pelvis. The results of these imaging studies were compared.RESULTS:
Retrograde cystography successfully diagnosed all cases of bladder rupture and correctly classified injuries confirmed surgically. Spiral CT successfully diagnosed 9 of 15 bladder ruptures (60%), and correctly classified 4 of 5 intraperitoneal (80%) and 6 of 11 extraperitoneal (55%) ruptures.CONCLUSIONS:
Spiral CT is less accurate than retrograde cystography in diagnosing traumatic bladder rupture.
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Base de datos:
MEDLINE
Asunto principal:
Heridas no Penetrantes
/
Vejiga Urinaria
/
Tomografía Computarizada por Rayos X
Tipo de estudio:
Observational_studies
Idioma:
En
Revista:
J Urol
Año:
1999
Tipo del documento:
Article