Related Experiment Video

Updated: Jun 24, 2026

A Single Cell Dissociation Approach for Molecular Analysis of Urinary Bladder in the Mouse Following Spinal Cord Injury
09:50

A Single Cell Dissociation Approach for Molecular Analysis of Urinary Bladder in the Mouse Following Spinal Cord Injury

Published on: June 17, 2020

Intraperitoneal bladder rupture as an isolated manifestation of nonaccidental trauma in a child

Timothy Lautz1, Dan Leonhardt, Erin Rowell

  • 1From the Children's Memorial Hospital, Feinberg School of Medicine, Northwestern University, Chicago, IL 60614, USA.

Pediatric Emergency Care
|April 17, 2009
PubMed

Insights

Nonaccidental trauma can cause serious childhood injuries. This case highlights a rare instance of intraperitoneal bladder rupture in a child due to blunt abdominal trauma, emphasizing the need for vigilance.

Area of Science:

  • Pediatric Surgery
  • Trauma Surgery
  • Child Abuse

Background:

  • Nonaccidental trauma is a critical factor in pediatric morbidity and mortality.
  • Blunt abdominal trauma in children can lead to severe internal injuries.
  • Intraperitoneal bladder rupture is a rare but serious consequence of abdominal trauma.

Observation:

  • A child presented with symptoms of an acute abdomen, gross hematuria, and azotemia.
  • Computed tomography revealed free intraperitoneal fluid, indicative of internal injury.
  • The injury mechanism involved blunt force to the abdomen while the child had a full bladder.

Findings:

  • Emergency exploratory laparotomy confirmed a rupture at the dome of the bladder.
  • This case represents the fourth reported instance of bladder rupture due to nonaccidental trauma in a child.
  • The diagnostic findings were consistent with significant intra-abdominal injury.

Implications:

  • This case underscores the importance of considering nonaccidental trauma in the differential diagnosis of pediatric abdominal injuries.
  • Early recognition and surgical intervention are crucial for managing intraperitoneal bladder rupture.
  • Increased awareness among healthcare providers can improve outcomes for child abuse victims.

More Related Videos

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models10:19

Evaluation of Biomaterials for Bladder Augmentation using Cystometric Analyses in Various Rodent Models

Published on: August 9, 2012

Related Concept Videos

Esophageal Perforation-I: Introduction01:22

Esophageal Perforation-I: Introduction

Esophageal perforation is a severe medical condition characterized by a breach in the integrity of the esophageal wall. This breach can occur due to various factors such as trauma, medical procedures, or underlying diseases. When the esophageal wall is compromised, it allows food, fluids, and digestive juices into the chest cavity or adjacent structures, leading to potential complications and health risks.
The location of esophageal perforation can vary, occurring anywhere along the esophagus.
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
Esophageal Perforation-II: Clinical Manifestations and Management01:28

Esophageal Perforation-II: Clinical Manifestations and Management

Esophageal perforations manifest in various clinical forms, influenced by factors such as the perforation's cause and location (cervical, intrathoracic, or intra-abdominal), the extent of contamination, and potential injury to adjacent mediastinal structures. The timing between the perforation occurrence and treatment initiation also affects the clinical presentation.
Clinical Manifestations:
Disorders of the Urinary System01:20

Disorders of the Urinary System

The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary Bladder01:23

Urinary Bladder

The urinary bladder is a hollow, muscular sac that temporarily stores urine before it is expelled from the body. It can hold approximately 600 mL of urine prior to micturition. The bladder is retroperitoneal and located behind the pubic symphysis in the pelvic floor.
In males, the bladder is situated in front of the rectum, while in females, it is positioned anterior to the vagina and uterus. The bladder floor contains an inverted triangular area called the trigone, defined by the two ureteric...
Acute Pyelonephritis I: Introduction01:27

Acute Pyelonephritis I: Introduction

Pyelonephritis is a bacterial infection that primarily affects the renal parenchyma and collecting system, including the renal pelvis, tubules, and interstitial tissue of one or both kidneys. It can be classified as either acute—a sudden, severe infection—or chronic, which refers to long-term or recurrent kidney infections.The primary cause of acute pyelonephritis (APN) is bacterial infection, with Escherichia coli accounting for approximately 70-80% of cases. Other bacteria, such as Proteus,...