Abstract

— A penetrating bladder injury in a youth due to impalement through the scrotum was successfully operated. Perforation was at the bottom and on the dome and the absence of a clinical uro-peritoneal picture was due to the plugging of the latter rupture by the omentum. Retrograde urethrocystography was negative and only pelvic ultrasound characterised the diagnosis, leading to an immediate explorative surgical approach.

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