Pelvic in Surgery — 32yo Man | Urology | SMLE Q#16387

SMLE Question #16387

Surgery Urology

Objective: OBJ-124

Last updated: February 2026
A 32-year-old man presents after a high-speed motor vehicle collision with pelvic and lower abdominal pain. Pelvic X-ray shows an open-book fracture. CT cystography demonstrates extraperitoneal contrast extravasation from the bladder without intraperitoneal leak. There is no blood at the urethral meatus, and a gently placed urethral catheter drains clear urine. No rectal injury is identified. What is the most appropriate management of this bladder injury?

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