A 38-year-old female, gravida 7, para 3, living 3, abortus 3 (G7P3L3A3) at 28 weeks of gestation with a monochorionic, diamniotic twin pregnancy underwent emergency lower segment caesarean section (LSCS) for pre-eclampsia. She was also a known case of gestational diabetes mellitus (GDM). Although her intra-operative course was uneventful, on POD 4, she developed gradually progressive and persistent abdominal pain, distension, with tenderness on palpation. A new-onset fever was noted with urine output of 250 ml over the past 24 hours. Her lab investigations on POD 4 revealed elevated C-reactive protein (CRP, 180 mg/L), and urine analysis showed leukocytes 50-100 per high-power field and positive leukocyte esterase, suggestive of UTI. Renal function tests revealed a serum creatinine of 3.4 mg/dL and BUN of 133 mg/dL. Contrast-Enhanced CT (CECT) abdomen and pelvis revealed significant free fluid in the peritoneal cavity with evidence of intraperitoneal extravasation of contrast at the dome of the bladder (Figure 1). A pigtail catheter was inserted for ascitic fluid drainage. The normal bladder anatomy is shown in the figure below (Figure 2).
Figure 1: Intraperitoneal extravasation of contrast and a clear defect in the dome of the bladder (black arrow) (Image courtesy: www.radiopaedia.org)
Figure 2: Normal bladder anatomy
Which of the following statements is incorrect regarding this case?
