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Intraperitoneal bladder rupture following mild blunt trauma: A rare case report
Elmontassar Belleh Zaafouri1, Zied Hadrich2, Aziz Atallah2
1General Surgery Department, Mongi Slim LaMarsa University Hospital, Tunisia.
Introduction And Importance:
Intraperitoneal bladder rupture is a rare complication of blunt abdominal trauma, occurring in less than 1 % of cases. Prompt diagnosis and surgical management are crucial to prevent severe complications.
Case Presentation:
We report a 62-year-old male presenting with hypogastric pain and peritonitis following a low-impact fall. Imaging revealed intraperitoneal bladder rupture without pelvic fractures. Emergency laparotomy confirmed a 13 cm rupture of the bladder dome, treated with two-layer repair, cystostomy, and lavage. Postoperative recovery was uneventful, with complete bladder integrity confirmed after 15 days.
Clinical Discussion:
Bladder trauma management depends on rupture type: extraperitoneal ruptures are typically managed conservatively, whereas intraperitoneal ruptures require surgical intervention. For intraperitoneal injuries, guidelines recommend laparotomy for repair and postoperative cystography.
Conclusion:
This case underscores the importance of recognizing rare presentations of bladder trauma and addressing underlying risk factors like urinary retention to improve patient outcomes.
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