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[Rupture of the urinary bladder caused by trivial trauma. Case report]
D Gambini1, P Caputo, W Zuccon
1Seconda Divisione di Chirurgia d'Urgenza e Pronto Soccorso, Istituto Policlinico San Donato (Milano), Cattedra di Chirurgia d'Urgenza e Pronto Soccorso, Università degli Studi, Pavia, Italy.
Abstract:
The urinary bladder occupies the deep pelvic cavity and is well protected from the bacin: this is the reason why it can rarely be traumatized. Anyway it could suffer traumas, which can cause extraperitoneal and intraperitoneal ruptures. A classification of traumas that can injure the urinary bladder and the treatments of these lesions are presented. A clinical case personal observed regarding a 78 year-old female patient is described. An accidental fall and direct trauma in the hypogastrium caused a rupture of her urinary bladder. In this case, the patient was anuric, though the macrohematuria and microhematuria can be present in the 85% of the urinary bladder lesions. This is an interesting case since it deals with a urinary bladder wall rupture, due to a trivial trauma on the bladder.