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KMID : 0358320120530120887
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Korean Journal of Urology
2012 Volume.53 No. 12 p.887 ~ p.889
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Delayed Presentation of Intravesical Bone Penetration after Pelvic Ring Fracture
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Kim Jung-Hoon
Ha Yong-Chan
Kim Tae-Hyoung
Myung Soon-Chul
Moon Young-Tae
Kim Kyung-Do
Chang In-Ho
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Abstract
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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.
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KEYWORD
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Delayed diagnosis, Injuries, Pelvic bones, Urinary bladder
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