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A postpelvic binder removal X-ray showed extravasation of contrast from the bladder indicating a bladder tear. In this case, the pelvic binder had masked the bladder wall injury during the CT scan. We suggest that plain X-rays should be taken of the pelvis after the pelvic binder is removed, regardless of the CT report. This X-ray surveillance would reduce not only the chances of missing injuries to the bony pelvis but also injuries to the pelvic viscera.<\/jats:p>","DOI":"10.1136\/bcr-2024-264074","type":"journal-article","created":{"date-parts":[[2025,2,3]],"date-time":"2025-02-03T09:35:18Z","timestamp":1738575318000},"page":"e264074","update-policy":"https:\/\/doi.org\/10.1136\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":2,"title":["Occult bladder wall injury with pelvic binder"],"prefix":"10.1136","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0009-0009-5972-7953","authenticated-orcid":false,"given":"Cameron","family":"Heathcote","sequence":"first","affiliation":[{"name":"Trauma and Orthopaedics, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chandan Noel","family":"Vincent","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joseph","family":"Alsousou","sequence":"additional","affiliation":[{"name":"Trauma and Orthopaedics, Manchester University NHS Foundation Trust, Manchester, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"239","published-online":{"date-parts":[[2025,2,3]]},"reference":[{"key":"2025082711424764000_18.2.e264074.1","doi-asserted-by":"crossref","first-page":"252","DOI":"10.1016\/j.jcot.2015.08.002","article-title":"Pelvic ring injuries: Emergency assessment and management","volume":"6","author":"Halawi","year":"2015","journal-title":"J Clin Orthop Trauma"},{"key":"2025082711424764000_18.2.e264074.2","unstructured":"Tullington JE , Blecker N N , Pelvic trauma . 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