TVTRAUMAVAULTCASE-BASED TRAUMA JUDGMENT
Teaching image withheldThe image will be revealed when it becomes clinically available in the case.
Retrograde urethrogram obtained during ED resuscitation demonstrates posterior urethral contrast extravasation with failure of contrast to enter the bladder, consistent with posterior urethral disruption. teaching visual
Retrograde urethrogram obtained during ED resuscitation demonstrates posterior urethral contrast extravasation with failure of contrast to enter the bladder, consistent with posterior urethral disruption. • TEACHING IMAGE
Genitourinary TraumaHigh-energy motorcycle collision with pelvic ring disruption and suspected urethral injuryIntermediate

Motorcycle Crash With Blood at the Meatus: Recognizing Posterior Urethral Injury

SCENARIO

A 27-year-old man is brought after a motorcycle collision. He is alert, with pelvic pain and visible pelvic deformity. Initial blood pressure is 108/72 mmHg and heart rate is 116/min. After warmed blood products and pelvic stabilization, blood pressure improves to 124/80 mmHg. Examination shows blood at the urethral meatus, and the pelvis is not repeatedly stressed. Because urethral injury is suspected, a retrograde urethrogram is obtained before any urethral catheter attempt. The patient remains sufficiently stable for imaging, and the image is now available for interpretation.

← Previous case All cases