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3 189
CT scan of the abdomen and pelvis is most likely to reveal which of the following injuries in this patient?
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Case 3:
A 20-year-old man is brought to the emergency department after a motor vehicle collision. Blood pressure is 130/84 mm Hg, pulse is 108/min, and respirations are 18/min. The airway is intact, and breath and heart sounds are normal. There is bruising across the central lower abdomen and the suprapubic area is tender to palpation. Chest x-ray and pelvic x-ray reveal no fractures. Bedside ultrasound shows intraperitoneal free fluid. Urine dipstick test is positive for blood.
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Which of the following structures has most likely limited the proper ascent of the anomalous organ seen on CT scan?
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Case 2:
A 47-year-old woman comes to the office due to fever, dysuria, and abdominal pain. The patient has had several urinary tract infections since her teens but has no other medical concerns. Physical examination shows mild suprapubic discomfort. Urinalysis demonstrates pyuria and many bacteria. CT scan of the abdomen is shown in the image above:
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Case 1:
A 16-year-old boy, who was riding his skateboard down a
stair railing, falls and impacts his perineum on the railing,
causing a straddle injury. He presents in the ER with dis
coloration and swelling in the scrotum, penis, and anterior
abdominal wall, which is characteristic of extravasation of
urine.
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