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Intraperitoneal bladder rupture in a battered child

R W Sawyer1, M A Hartenberg, R M Benator

  • 1Medical College of Virginia/Virginia Commonwealth University, Richmond.

The International Journal of Pediatric Nephrology
|October 1, 1987
PubMed

Insights

Child abuse can cause internal injuries like bladder rupture. This can lead to kidney failure due to urine absorption into the abdomen.

Area of Science:

  • Pediatric surgery
  • Trauma surgery
  • Pediatric critical care

Background:

  • Visceral injuries from child abuse are often overlooked compared to skeletal trauma.
  • Blunt abdominal trauma is a significant cause of pediatric injury.
  • Intraperitoneal bladder rupture is a rare but severe consequence of abdominal trauma.

Observation:

  • A case of a child experiencing blunt abdominal trauma is presented.
  • The child sustained an intraperitoneal bladder rupture.
  • Extravasated urine was resorbed into the peritoneal cavity.

Findings:

  • The intraperitoneal bladder rupture was diagnosed following blunt abdominal trauma.
  • Laboratory findings indicated acute kidney injury (renal failure).
  • Resorption of extravasated urine from the peritoneal cavity contributed to renal dysfunction.

Implications:

  • Highlights the importance of considering visceral injuries in cases of suspected child abuse.
  • Emphasizes the potential for severe renal complications from intraperitoneal bladder rupture.
  • Suggests prompt diagnosis and management are crucial for improving outcomes in pediatric abdominal trauma.

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