Abstract
Extraperitoneal bladder ruptures account for 70-90% of all bladder injuries. Management of uncomplicated extraperitoneal bladder ruptures may be treated conservatively with catheter drainage via foley or suprapubic tube. The extend of contrast extravasation at the time of cystogram does not typically affect therapy. We presented a case of a 59 -year-old- male who sustained a traumatic extraperitoneal bladder rupture after falling off a horse. The patient had severe contrast extravasation into the extraperitoneal space. Conservative management was the treatment of choice. The patient's bladder injury successfully healed after prolonged management with foley catheter decompression.