Julia R. Fielding, M.D. Brigham and Women's Hospital, Harvard Medical School Boston, Massachusetts

75 Year-old Female with Post-operative Hematuria

This 75 year-old woman underwent a femoral-femoral arterial bypass procedure and developed post-operative hematuria. A retrograde cystogram was performed. Following instillation of 250 cc of water soluble contrast, a right posterior oblique(Figure 1) and lateral view (Figure 2) demonstrate the pertinent findings.

The diagnosis was extraperitoneal bladder rupture secondary to inadvertent passage of the arterial bypass graft through the bladder. Both bladder and graft were surgically repaired.