A 25-Year-Old Man Is Evaluated in the Emergency Department After

A 25-year-old man is evaluated in the emergency department after a motor vehicle collision. The physical assessment shows intact airways, normal breathing, and the pulse is 108/min. The blood pressure is 120/80 mm Hg and the respirations are 20/min. There is a bluish discoloration in the central lower abdomen, associated with tenderness in the suprapubic area. Chest and pelvic x-ray do not show any fractures. Ultrasound reveals free intraperitoneal fluid. Urinalysis is positive for blood. CT scan of the abdomen would most likely show?

A) Anterior bladder wall rupture
B) Bladder dome rupture
C) Bladder neck rupture
D) Renal laceration
E) Transection of the anterior urethra

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