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27 August 2017
Adel Hamed Elbaih1, Eman Adel Elzeky1, Islam Elshaboury1, Mohamed Oraby2 1) Department of Emergency Medicine, Faculty of Medicine, Suez Canal University, Ismailia, Egypt. 2) Department of
10 May 2017
Naoual Benhmidou1, Fadoua Rais1, Fadila
10 May 2017
Khadija Bellahammou1, Asmaa Lakhdissi1,
10 May 2017
Khaled Moursy Salama1, Monira T.

ISOLATED BLADDER RUPTURE IN AN ELDERLY PATIENT AFTER BLUNT TRAUMA. CASE REPORT AND REVIEW

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa

1) Department of Surgery, Caboolture Hospital, Caboolture, QLD 4510, Australia.

Disclosure: The author has declared no conflicts of interest.

Received: 15.12.16 Accepted: 08.01.17

1486385429 Quote  doi: 10.5455/ijsm.bladder-rupture-blunt-trauma

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Abstract:

A 74-year-old man presented to the hospital after having a mechanical fall at home on his left side of the body. On arrival he was stable, and investigation revealed fractured left humerus, and he was admitted for observation and pain management. Two days later he started to have severe lower abdominal pain and acute kidney injury. Urinary catheter inserted and about 2 liters of bloody urine emptied, and Abdominopelvic CT scan requested which showed massive fluid in the retroperitoneal area, subsequent CT Cystogram confirmed perforation of the bladder on the left lateral wall. The patient was hemodynamically stable and kept in a high intensive care unit for close observation, and he improved dramatically, and follow-up scan showed healing of perforated bladder. Bladder rupture is not a standard presentation after blunt trauma but should be kept in mind when dealing with elderly patients with pre-existing urinary retention or other medical comorbidities.

Keywords: bladder rupture, urinary retention, CT Cystogram


How to Cite this Article

Bidarmaghz, B., Mizumoto, R. and Hendahewa, R. (2017). Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review. International Journal of Surgery and Medicine. [online] Available at: http://10.5455/ijsm.bladder-rupture-blunt-trauma [Accessed 2 Apr. 2017].
 

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Last modified onSunday, 02 April 2017 19:14

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