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Question 8#

Which of the following is a strong indication for the surgical exploration of bladder trauma?

a. Recurrent catheter obstruction due to clots
b. Flame like contrast extravasation from the bladder
c. Haematuria following catheterisation
d. External fixation of an associated pelvic fracture
e. An associated urethral injury

Correct Answer is A

Comment:

Answer A

Flame like contrast extravasation suggests an extraperitoneal injury which can be managed conservatively. There is however, increasing data to support early surgical repair of extraperitoneal bladder injuries if internal fixation is performed. Catheter difficulties following bladder trauma are best managed by operative intervention and bladder repair.