A young man with blunt injury in his lower abdomen..clinically presenting with abdominal tenderness and bloody urinary production. Note the free fluid on his ultrasound examination. Laceration/ rupture on his bladder dome (intraperitoneal) #surgeryoftheday #surgeon #surgery #bladder #bladderinjury #ballsofsteel #badasssurgeon #medschool #medstudent #medicalstudent