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Updated: Jul 27, 2026
10:19
Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models
Published on: August 9, 2012
Extraperitoneal bladder rupture secondary to rectal impalement.
1Department of Urology, Hokkaido Saiseikai Otaru Hokusei Hospital, Otaru, Japan. tanumay@sapmed.ac.jp
Summary
A rare impalement injury involving the urinary bladder and rectum was treated successfully. Surgical intervention and catheterization led to complete closure of the vesicorectal fistula.
Area of Science:
- Urology
- Colorectal Surgery
- Trauma Surgery
Background:
- Impalement injuries to the urinary bladder and rectum are exceptionally rare.
- This case highlights a penetrating injury to the pelvic organs via the internal femoral skin.
- Diagnostic challenges in identifying such injuries are notable.
Observation:
- A 45-year-old male presented with a penetrating injury from a steel bar.
- Initial imaging (cystography, CT) did not reveal bladder rupture, despite gross hematuria.
- Cystoscopy identified a posterior bladder wall wound, and colonoscopy revealed rectal injuries, including a vesicorectal fistula.
Findings:
- A penetrating injury resulted in a vesicorectal fistula.
- Diagnostic laparoscopy excluded intra-abdominal injuries.
- Treatment involved transanal closure of fistulas and indwelling ureteral and urethral catheters.
Implications:
- This case demonstrates successful management of a rare vesicorectal injury.
- Endoscopic and minimally invasive techniques can be effective for diagnosing and treating such complex trauma.
- Prompt and accurate diagnosis is crucial for optimal patient outcomes in penetrating pelvic injuries.
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