Isolated perivesicular hematoma after military parachuting

Area of Science:

• Trauma Surgery
• Urology
• Sports Medicine

Background:

• Isolated perivesicular hematomas are rarely documented injuries, particularly following high-impact activities like parachuting.
• This case series addresses a gap in the literature regarding this specific injury pattern.

Observation:

• Three military parachuting personnel sustained isolated perivesicular hematomas.
• Patients were managed nonoperatively, experiencing prolonged hospital stays.
• Ambulatory and urological difficulties persisted for months post-injury, despite the absence of orthopedic trauma.

Findings:

• Follow-up imaging revealed persistent hematomas several months after the initial injury.
• All patients required physical therapy and assistive devices for ambulation upon discharge.
• The clinical course was characterized by persistent functional deficits.

Implications:

• Highlights an uncommon but significant injury pattern associated with military parachuting.
• Emphasizes the need for a high index of suspicion for timely diagnosis.
• Underscores the necessity of multidisciplinary management involving trauma, urology, and physical therapy for optimal patient outcomes.