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Delayed rupture of type I posterior urethral injury: case report
1Department of Urology, Vanderbilt University Medical Center, Nashville, Tennessee 37232-2765.
Insights
Pelvic fractures can cause Type I posterior urethral injuries, often manageable with Foley catheter drainage. Delayed rupture of these injuries can lead to severe pelvic hematoma infection and sepsis if unrecognized.
Area of Science:
- Urology
- Trauma Surgery
- Medical Case Reports
Background:
- Type I posterior urethral injuries are common with pelvic fractures but often underreported.
- Standard management involves Foley catheter drainage, assuming stable urethral integrity.
Abstract:
Type I posterior urethral injuries are a frequently noted but infrequently reported entity in the setting of pelvic fracture. Almost all of these injuries will do well with Foley catheter drainage. However, the urethral integrity as established by admission retrograde urethrography is not an unalterable state and serious septic sequelae may be noted if the evolving injury is unrecognized. We report a case of delayed rupture of a type I posterior urethral injury causing infection of the pelvic hematoma and subsequent sepsis.