All the features of membranous urethral injury except
Correct Answer: Perineal butterfly hematoma
Description: 1. Urethral rupture is also of two types: a. Bulbar urethral injury - MC b. Membranous urethral injury 2. Extravasation of urine (+ blood ) in bulbar urethral injury a. It is a superficial extravasation. b. If the Buck&;s fascia remains intact, extravasation of blood and urine are confined to the penile shaft. However disruption of Buck&;s fascia allows extravasated contents into a space limited by colle&;s fascia forms a scrotal and perineal butterfly hematoma which can extend up the abdominal wall. 3. Extravasation of urine in Membranous urethral injury & Extraperitoneal bladder rupture. a. Extravasation is same in both b. It is a deep extravasation c. Urine extrvasates in the layers of the pelvic fascia and the retroperitoneal tissues d. Urine collects in the perivesical space. e. The typical finding on cystogram is extravasation of contrast material into the pelvis around the base of the bladder. Ref: Sabiston 20th Ed. ; Schwaz 11th Ed.
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