Non-Operative Management of Intraperitoneal Bladder Rupture Due to Blunt Abdominal Trauma

Hamid Shafi, Aliasghar Darzi, Sekineh Kamali Ahangar, Yasser Asghari
2016 Trauma Monthly  
Nowadays, surgical treatment is the gold standard to manage traumatic intraperitoneal urinary bladder rupture; there is an increasing trend of conservative management in cases of urinary tract trauma. Case Presentation: A 72-year-old male with high energy trauma due to car accident had blunt traumatic intraperitoneal urinary bladder rupture with pelvic fracture. He was successfully managed non-operatively by catheter drainage of the bladder and external fixation of the pelvic fracture while he
more » ... fracture while he was hemodynamically stable and there was no other organ injury. Conclusions: Non-operative management for a blunt traumatic intraperitoneal bladder rupture with pelvic fracture is an important treatment modality if a laparotomy is not needed for any other abdominal organ injuries, and urine can be constantly drained through a catheter; and a close surveillance can be performed for generalized peritoneal signs and uroascites.
doi:10.5812/traumamon.38079 fatcat:gcifnifodrchzhdzpdrii7jdqu