Bladder Trauma.

Pelvic Trauma
Pelvic fractures most often occur from a variety of mechanisms that involve highenergy blunt force trauma. About 60% are caused by motor vehicle accidents;
while falls account for approximately 30% of pelvic fractures that statistically
usually involve the elderly. Crush injuries and stress from overuse or misuse
account for the remaining 10% of injuries. Injuries that involve the pelvic ring
have a high morbidity and significant mortality (approximately 6%). Hemorrhage
is the leading cause of death in patients with a pelvic fracture 1. Bone injury is not
the only concern with pelvic ring fractures, soft tissue components such as the
bladder, urethra, rectum, and uterus may also sustain injury requiring immediate
appropriate therapy. Often pelvic injuries are so extensive that the emergency
physician is unable to control pelvic hemorrhage caused by discontinuity of pelvic
veins and arteries. This account for about 35-40% of deaths from pelvic ring
fractures. Pelvic fracture is a severe and life-threatening injury that requires
treatment by a dedicated team5. In addition, there are associated multi system
injuries, which occur at relatively high frequencies. For example, closed head
injury occurs 48% of the time. Spine injury (20%), liver and/or spleen injury
(17%), and bladder or urethra injury (25%) also frequently occur as multi system
injuries. Understanding the force(s) that cause fractures of the pelvic ring, its
potential consequential injuries, and acquiring appropriate radiographic images and
diagnostic studies are the subjects of this learning module.

Online Radiography Continuing Education for Radiologic

X- ray Technologist
http://www.merckmanuals.com/professional/injuriespoisoning/genitourinary-tract-trauma/bladder-trauma

 http://emedicine.medscape.com/article/1247913overview#a8

What are Pelvis or Pelvic CT Scans?

Pelvis or Pelvic CT scans can look for medical issues dealing with the organs or
structures in the pelvis. For a woman, these include the uterus, ovaries, and
fallopian tubes. For a man, the pelvic organs include the prostate gland and the
seminal vesicles.
Both Abdominal and Pelvis CT scans look at the abdominal and pelvic organs
(such as the liver, spleen, kidneys, pancreas, and adrenal glands) and the
gastrointestinal tract. They are ordered often times to check for a cause of pain.
They are also frequently ordered to follow up on an abnormality seen on another
test such as anultrasound.
Pelvic CT scans can help find cysts, abscesses, infections, tumors, aneurysms,
enlarged lymph nodes, foreign objects, or even bleeding in the belly. Done

correctly, CT scans of the pelvis can help detect diverticulitis, inflammatory bowel
disease, and appendicitis.