Abstract
Blunt injury of the urinary bladder is well known and usually associates pelvic fractures. Isolated bladder injury is a rare condition and on the other hand, delayed bladder perforation is an extremely rare entity. Herein, we described an unusual case of isolated delayed intraperitoneal bladder rupture that occurred on the third post injury day in a young male in the absence of free intraperitoneal fluid and pelvic fracture. The diagnostic workup, course and the need for surgical repair of the injury is presented.
Highlights
We described an unusual case of isolated delayed intraperitoneal bladder rupture that occurred on the third post injury day in a young male in the absence of free intraperitoneal fluid and pelvic fracture
Around 60% to 85% of all bladder injuries result from blunt abdominal trauma (BAT) but the incidence of intraperitoneal urinary bladder (UB) rupture is relatively uncommon from blunt injuries [1]
We present a case of delayed rupture of UB due to blunt trauma without associated injuries
Summary
Around 60% to 85% of all bladder injuries result from blunt abdominal trauma (BAT) but the incidence of intraperitoneal urinary bladder (UB) rupture is relatively uncommon from blunt injuries [1]. Isolated UB rupture following blunt trauma has an insidious presentation, and often results in delayed diagnosis and management [2,3,4,5,6,7,8]. Over 80% of the patients with UB rupture had an associated pelvic fracture in centers with high percentage of blunt trauma. On the other hand around 6% of patients with pelvic fracture sustain a bladder injury [3, 6]. Delayed diagnosis of bladder rupture may be associated with laboratory abnormalities such as metabolic derangements, and leukocytosis. We present a case of delayed rupture of UB due to blunt trauma without associated injuries
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