Type I posterior urethral injuries are a frequently noted but infreque
ntly reported entity in the setting of pelvic fracture. Almost all of
these injuries will do well with Foley catheter drainage. However, the
urethral integrity as established by admission retrograde urethrograp
hy is not an unalterable state and serious septic sequelae may be note
d if the evolving injury is unrecognized. We report a case of delayed
rupture of a type I posterior urethral injury causing infection of the
pelvic hematoma and subsequent sepsis.