Abstract
This study had two goals. The first was evaluating the relationship of intraperitoneal and extraperitoneal bladder injury to pelvic fractures. To determine that 10 patients with bladder rupture and no pelvic fracture were compared with 24 patients having both bladder injury and pelvic fracture following blunt trauma. In patients with pelvic fractures, extraperitoneal bladder ruptures were more common (15 of 24) than intraperitoneal tears. An extraperitoneal rupture was unlikely in the absence of a pelvic fracture (1 of 16). It thus appears that the compressive force that deforms and fractures the pelvic bones and ligaments exerts a shearing force on the bladder base resulting in an extraperitoneal injury.
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