Radical cystectomy · Rescue · D69

Bleeding behind the bladder

Allow about two minutes for three rounds. This scenario is teaching content; the score supports revision and does not assess clinical competence.

Radical cystectomyRescue · Crisis

The scenario

  • Open cystectomy.
  • Posterior dissection of the bladder off the rectum and division of the lateral pedicles.
What you see
  • Dark blood wells from deep in the pelvis, behind and below the bladder, faster than suction clears it.
Open cystectomy: the deep pelvis behind the bladder
Open cystectomy: the deep pelvis behind the bladder
Open the animation

Teaching only · not for diagnosis or treatment decisions