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Fig. 4 | Insights into Imaging

Fig. 4

From: Multidetector CT cystography for imaging colovesical fistulas and iatrogenic bladder leaks

Fig. 4

An elderly, 86-year-old woman with multiple medical problems, hospitalized for right femur fracture. CT urography requested for clinical suspicion of acute pyelonephritis detected extensive presence of air in the bladder (a), but no extravesical urine leak was identified even on coronal MIP reformations (b). MDCT cystography (sagittal and coronal reformatted images in c and d, respectively) clearly opacified a tear in the upper posterior aspect of the bladder (arrowheads), which was retrospectively attributed to difficult emergency catheterization manoeuvres

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