This is a nice example of a urethral leak following urethrostomy, that resolved with transurethral Foley catheter left in situ for 7 days  0002...

Ruptured bladder intraop  d68efb5f-7df0-4bad-adc8-e7af40a06684.jpeg

Whilst the abdominal fluid has a PCV of 10%, which would give it the appearance of blood, the considerably higher creatinine and potassium of the abdo...

Thanks for your well reasoned thoughts! I think your suggestion that this may represent hypovolaemia is likely given the response to fluid chall...

So it can be helpful when presented with a fair amount of information to boil things down to a simplified problem list: lethargy, depression ...