EC Clinical and Medical Case Reports

We report a case of pelvic fracture urethral injury (PFUI) in a 56-year-old man following a road traffic accident. The patient presented with pubic pain and scrotal swelling, and CT urography revealed urethral contrast extravasation and a 5 cm pubic diastasis. PFUI, often associated with high-velocity trauma and pelvic ring disruption, can present with subtle symptoms or be asymptomatic. While retrograde urethrography is the gold standard for diagnosis, CT urography proved effective in this emergency setting. The patient underwent urethral realignment with a Foley catheter and open reduction and internal fixation of the pubic diastasis. This case underscores the importance of prompt diagnosis and management of PFUI and highlights the role of CT urography in the evaluation of trauma patients.

 Keywords: Urethral Injury; High-Velocity Trauma; Pelvic Fracture; CT Urography; Pubic Diastasis; Trauma Management

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