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Case Reports in Urology
Volume 2012 (2012), Article ID 109589, 4 pages
http://dx.doi.org/10.1155/2012/109589
Case Report

Posterior Urethra Rupture: Contrast-Enhanced Computed Tomography Scan and Urethrocystography Demonstrations

Department of Trauma Surgery, Medical University of Gdańsk, 80-211 Gdańsk, Poland

Received 23 November 2011; Accepted 22 January 2012

Academic Editor: S. K. Hong

Copyright © 2012 Wojciech Marks et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

In the follow-up study of patients with pelvic fractures, rupture of the posterior urethra is registered in 3–25% of cases (Koraitim et al., 1996). The diagnostic gold standard for the assessment of hemodynamically stable trauma patients is contrast-enhanced CT scan, especially helical CT. Nevertheless, simultaneous suprapubic cystography and ascending urethrograms (the so-called up-and-downogram) are the investigation of choice in assessing the site, severity, and length of urethral injuries. (Carlin and Resnick, 1995) This paper discusses the evaluation and diagnosis of urethral injury in multiple-trauma patient.