vaginale Verletzungen

Teenager in

an MVA with pelvic pain and vaginal bleeding. Axial CT with contrast of the lower pelvis (above left) shows a contrast-fluid level in the bladder in the anterior part of the pelvis along with a fluid-filled vagina in the middle of the pelvis that lies anterior to the rectum. There is also free fluid noted around the bladder. At a lower level in the CT (below left) the left wall of the vagina is seen to be completely disrupted and discontinuous. AP image from the voiding phase of a voiding cystourethrogram exam obtained a month later (right) shows contrast leaking out of the left side of the urethra.The diagnosis was vaginal laceration with associated urethral laceration.