Abstract
Traumatic ruptures of the bladder are relatively rare lesions. They are associated in more than 80% of cases with a fracture of the pelvic girdle. The lesion mechanism is usually a sudden compression on the full bladder. Hypogastric pain and macroscopic hematuria suggest the diagnosis, which is confirmed by cystography. This diagnosis can be difficult and delayed in the absence of these call signs. We report a case of isolated traumatic intraperitoneal rupture of the bladder, diagnosed 24 hours after a public road accident in a 44-year-old patient.
Highlights
Traumatic ruptures of the bladder are relatively rare lesions; less than 1% of abdominal contusions [1] [2]
Hypogastric pain and macroscopic hematuria suggest the diagnosis, which is confirmed by cystography
We report a case of isolated traumatic intraperitoneal rupture of the bladder, diagnosed 24 hours after a public road accident in a 44-year-old patient
Summary
Traumatic ruptures of the bladder are relatively rare lesions; less than 1% of abdominal contusions [1] [2]. They are associated in more than 80% of cases with a fracture of the pelvic girdle [3]. Hypogastric pain and macroscopic hematuria evoke the diagnosis; diagnosis is confirmed by cystography [7]. This diagnosis may be difficult and delayed in the absence of these call signs [8]. We report a case of traumatic intraperitoneal rupture isolated from the bladder, diagnosed 24 hours after a road accident
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