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Figure 5 | Patient Safety in Surgery

Figure 5

From: Complications and salvage options after laser lithotripsy for a vesical calculus in a tetraplegic patient: a case report

Figure 5

Top panel: Coronal section of CT of abdomen performed five days after vesical lithotripsy showed urinary bladder almost filled with clots. The outline of urinary bladder was intact. Bottom panel: Sagittal section of CT abdomen with oral positive contrast, performed 12 days after vesical lithotripsy (two days after cystoscopy and clot evacuation) when the patient developed abdominal distension: A large intra-peritoneal haematoma, at the superior aspect of dome of urinary bladder was seen with gas locules. There was a defect in the urinary bladder wall superiorly, at the site of the haematoma, indicative of bladder rupture/perforation.

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