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[Bladder rupture after minor trauma].

L E Myrseth1, T E Johansen

  • 1Urologisk seksjon, Kirurgisk avdeling, Telemark sentralsjukehus, Porsgrunn.

Tidsskrift for Den Norske Laegeforening : Tidsskrift for Praktisk Medicin, Ny Raekke
|April 30, 1991
PubMed
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Urinary bladder rupture is rare, often from severe trauma but can occur with minimal injury. Diagnosis requires suspecting bladder injury in patients with abdominal pain, inability to void, or hematuria.

Area of Science:

  • Urology
  • Trauma Surgery

Background:

  • Urinary bladder rupture is an uncommon injury, typically associated with severe trauma and multiple organ damage.
  • However, it can also occur in isolation or after minor trauma, necessitating a high index of suspicion.

Observation:

  • Patients presenting with abdominal pain, inability to void, or hematuria should be evaluated for potential bladder rupture.
  • Diagnosis is confirmed via retrograde cystogram with contrast medium and a drainage film.

Findings:

  • Intraperitoneal bladder ruptures require surgical intervention, including layered closure and drainage.
  • Extraperitoneal ruptures can be managed non-operatively with catheter drainage for 10-20 days.

Implications:

  • This study highlights three cases of bladder rupture following minimal trauma.

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  • It underscores the importance of timely diagnosis and appropriate management strategies for bladder injuries, regardless of the trauma mechanism.