Imaging of non-traumatic urinary bladder emergencies

Emerg Radiol. 2019 Dec;26(6):675-682. doi: 10.1007/s10140-019-01703-1. Epub 2019 Jul 6.

Abstract

Non-traumatic urinary bladder emergencies are rare but critical diagnoses to make in an emergency setting. Acute urinary bladder pathologies require an accurate and timely diagnosis to ensure a favorable clinical outcome. Multidetector computed tomography (CT) is the imaging modality of choice for acute and emergent conditions affecting the urinary bladder. MRI is helpful as a problem-solving modality due to better soft tissue characterization and higher in-plane resolution. The purpose of this article is to illustrate the spectrum of urinary bladder emergencies, review the imaging findings, and briefly describe the role of imaging in the evaluation of such patients. Although there are a few cases of bladder emergencies been reported separately, the literature summarizing the spectrum is lacking. The objective of this article is to review the imaging of acute emergencies involving urinary bladder that will help us to think beyond non-specific conclusion in an emergency setting. For the sake of focused discussion, traumatic bladder emergencies will be excluded in this review. In the era of highly image reliant clinical practice, radiologists must be familiar with the diagnostic strategy to approach these entities.

Keywords: Emergencies; Non-traumatic; Urinary bladder.

Publication types

  • Review

MeSH terms

  • Emergencies*
  • Emergency Service, Hospital
  • Humans
  • Magnetic Resonance Imaging*
  • Tomography, X-Ray Computed*
  • Urinary Bladder / diagnostic imaging*
  • Urinary Bladder Diseases / diagnostic imaging*