Fig. 3
From: Multidetector CT cystography for imaging colovesical fistulas and iatrogenic bladder leaks
A 61-year-old patient undergoing laparotomic surgery for Stage II (FIGO) bilateral ovarian cystoadenocarcinoma (preoperative staging CT image in a). MDCT cystography was performed 4 h after surgery because the gynaecological surgeon suspected intraoperative bladder rupture. Multiplanar assessment (axial, sagittal and coronal images in a, b and c, respectively) with adequate bladder filling detected some extraperitoneal air without extravasated contrast in the perivesical spaces, allowed confident exclusion of bladder rupture with urine leak and possible vesico-vaginal fistula. The patient recovered well and was discharged from hospital