Traumatic Intraperitoneal Bladder Rupture Research Articles

A case of traumatic intraperitoneal bladder rupture in an elderly woman with a neurogenic bladder

A case of traumatic intraperitoneal bladder rupture in an elderly woman with a neurogenic bladder

Laparoscopic Repair of Traumatic Intraperitoneal Bladder Rupture: A Case Series

Bladder injury is uncommon in blunt abdominal trauma. The injury can be life-threatening if not treated properly. Thus, timely and accurate diagnosis is critical. Traumatic intraperitoneal bladder rupture (TIBR) can be managed laparoscopically in patients who are hemodynamically stable. In this case series, we present 3 patients who underwent laparoscopic repair of TIBR performed by a single surgeon. In addition, we address useful technical tips that would facilitate the generalized use of laparoscopy for treating TIBR.

Slow down with that full bladder: A case report describing an intraperitoneal bladder rupture repaired laparoscopically.

IntroductionIntraperitoneal bladder rupture requires surgical repair (1). Historically these injuries were treated via laparotomy and open repair (1). There are only a few case reports of laparoscopic bladder repair reported in the literature. Our case adds to an already existing body of limited data especially with such an unusual presentation. With all the advantages minimally invasive surgery offer and the simplicity of the procedure, we recommend laparoscopic repair of isolated intraperitoneal bladder rupture in all trauma patients who are haemodynamic stable.Presentation of caseThis was a case of a twenty-three-year-old female who had underwent successful laparoscopic repair following an intraperitoneal bladder rupture secondary to blunt abdominal trauma.DiscussionTechnological advancements in laparoscopic surgery and increase in surgeon experience have contributed to the change in approach to patients with traumatic intraperitoneal bladder rupture (1, 2). Previously, associated intra-abdominal injuries had precluded surgeons to pursue laparoscopic repair (1). Laparoscopic exploration has however proven to be safe, effective, and feasible with decreased post-operative pain and wound sepsis, decreased length of stay and improved cosmetic outcome (1–3).ConclusionLaparoscopic repair of intra-peritoneal bladder injuries should be the approach of choice in an appropriate setting in the haemodynamically stable patient.

Advancing the Use of Laparoscopy in Trauma: Repair of Intraperitoneal Bladder Injuries

Traumatic intraperitoneal bladder rupture (IBR) requires surgical repair. Traditionally performed via laparotomy, experience with laparoscopic bladder repair (LBR) after blunt trauma is limited. Benefits of laparoscopy include decreased length of stay (LOS), less pain, early return to work, fewer adhesions, and lower risk of incisional hernia. The aim of this series is to demonstrate the potential superiority of LBR in select trauma patients. This is a retrospective review performed of all IBR patients from 2008 to 2016. Demographics, clinical management, outcomes, and follow-up were compared between LBR and open bladder repair (OBR) patients. Twenty patients underwent OBR, and seven underwent LBR. There was no significant difference in gender, age, or Injury Severity Score. There were no deaths or reoperations in either group. Average hospital length of stay and ICU days were similar between groups. There was one patient with UTI and one with readmission in each group. There were two incisional hernias and two bowel obstructions in the OBR group, with one patient requiring operative intervention. No such complications occurred in the LBR group. LBR for traumatic IBR can be safely performed in select patients, even in those with multiple extra-abdominal injuries.

Blunt Traumatic Intraperitoneal Bladder Rupture After Alcohol Intake That Responds to Non-Operative Conservative Management

Blunt traumatic intraperitoneal bladder rupture is usually treated by surgical repair. We report a patient with intraperitoneal bladder rupture secondary to blunt abdominal trauma that responded to non-operative conservative management using a transurethral catheter. A 58-year-old woman was admitted to our Department of Internal Medicine complaining of lower abdominal pain and urinary retention after drinking alcohol. Computed tomography (CT) scan revealed collection of fluid in the abdominal cavity and fresh blood clots in the bladder. At 2 days after admission, she was moved from the Department of Internal Medicine to Urology. Cystoscopy revealed an old hematoma in the bladder. She complained of abdominal pain when the Foley catheter was removed. At 3 days after admission, cystoscopy revealed a small tear at the bladder dome, which led to a definitive diagnosis of intraperitoneal bladder rupture. At 4 days after admission, a CT scan detected only a small amount of fluid in the abdominal cavity. Conservative therapy was continued because urine could be constantly drained. At 2 weeks after admission, the bladder rupture had healed. World J Nephrol Urol. 2019;8(1):19-22 doi: https://doi.org/10.14740/wjnu380

Non-Operative Management of Intraperitoneal Bladder Rupture Due to Blunt Abdominal Trauma

Introduction: Nowadays, surgical treatment is the gold standard to manage traumatic intraperitoneal urinary bladder rupture; there is an increasing trend of conservative management in cases of urinary tract trauma. Case Presentation: A 72-year-old male with high energy trauma due to car accident had blunt traumatic intraperitoneal urinary bladder rupture with pelvic fracture. He was successfullymanaged non-operatively by catheter drainage of the bladder and external fixation of the pelvic fracture while he was hemodynamically stable and there was no other organ injury. Conclusions: Non-operative management for a blunt traumatic intraperitoneal bladder rupture with pelvic fracture is an important treatment modality if a laparotomy is not needed for any other abdominal organ injuries, and urine can be constantly drained through a catheter; and a close surveillance can be performed for generalized peritoneal signs and uroascites.

Laparoscopic repair of traumatic intraperitoneal bladder rupture: Case report and review of the literature.

We present a case of intraperitoneal bladder rupture in a 42-year-old man repaired by a laparoscopic approach. Details of the case and a description of the operative procedure are outlined. We also review the literature on laparoscopic repair of traumatic bladder rupture.

Laparoscopic repair of traumatic intraperitoneal bladder rupture: Case report and review of the literature

We present a case of intraperitoneal bladder rupture in a 42-year old man repaired by a laparoscopic approach. Details of the case and a description of the operative procedure are outlined. We also review the literature on laparoscopic repair of traumatic bladder rupture.

Laparoscopic Repair of a Traumatic Bladder Rupture

Laparoscopic repair of the traumatic intraperitoneal bladder rupture is a proven, safe, and effective technique in the appropriate setting. A 23-year-old male with traumatic intraperitoneal bladder rupture proven by cystogram after a motor vehicle collision was successfully repaired via a laparoscopic approach. We describe the technique in detail including 2-layer closure and follow-up care. A review of the literature using PubMed with the key words [laparoscopic repair bladder injury] AND [bladder trauma] was performed. We recommend the consideration of laparoscopic repair of the intraperitoneal bladder rupture in more trauma patients who meet criteria.

Laparoscopic treatment of traumatic intraperitoneal bladder rupture

Traumatic intraperitoneal bladder rupture requires surgical suture and bladder drainage. In stable patients the laparoscopic approach is the best short recovery and less traumatic treatment allowing visualization of the entire peritoneal cavity to exclude others lesions. We present one case of successful laparoscopic treatment of this entity.

Non-Operative Management of a Blunt Traumatic Intraperitoneal Bladder Rupture as Damage Control after a Severe Pelvic Fracture

Non-Operative Management of a Blunt Traumatic Intraperitoneal Bladder Rupture as Damage Control after a Severe Pelvic Fracture

Sonographic Intraperitoneal Fluid in Patients With Pelvic Fracture: Two Cases of Traumatic Intraperitoneal Bladder Rupture

No AccessJournal of UrologyUrological Survey: Trauma, and Genital and Urethral Reconstruction1 Dec 2005Sonographic Intraperitoneal Fluid in Patients With Pelvic Fracture: Two Cases of Traumatic Intraperitoneal Bladder Rupture Allen F. MoreyM.D. Allen F. MoreyAllen F. Morey More articles by this author View All Author Informationhttps://doi.org/10.1016/S0022-5347(01)68977-8AboutFull TextPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail "Sonographic Intraperitoneal Fluid in Patients With Pelvic Fracture: Two Cases of Traumatic Intraperitoneal Bladder Rupture." The Journal of Urology, 174(6), p. 2264 © 2005 by American Urological Association, Inc.FiguresReferencesRelatedDetails Volume 174Issue 6December 2005Page: 2264 Advertisement Copyright & Permissions© 2005 by American Urological Association, Inc.MetricsAuthor Information Allen F. Morey More articles by this author Expand All Advertisement PDF downloadLoading ...

Sonographic Intraperitoneal Fluid in Patients with Pelvic Fracture: Two Cases of Traumatic Intraperitoneal Bladder Rupture

Sonographic Intraperitoneal Fluid in Patients with Pelvic Fracture: Two Cases of Traumatic Intraperitoneal Bladder Rupture

Sonographic intraperitoneal fluid in patients with pelvic fracture: two cases of traumatic intraperitoneal bladder rupture

Two patients who presented to the Emergency Department (ED) in shock with severe pelvic fractures were evaluated for intra-abdominal injury with a focused assessment with sonography in trauma (FAST) examination. Free intraperitoneal fluid was identified in the hepato-renal recess of both patients. At laparotomy both patients were found to have extensive uroperitoneum resulting from intraperitoneal bladder rupture and no other intra-abdominal injuries. The source of shock in both cases was ultimately determined to be arterial hemorrhage from pelvic vessels. The utility of FAST examinations in the setting of major pelvic injury is relatively unstudied. Coincident injuries make the evaluation for source of hemorrhage in this subset of patients challenging. This is a report of sonographic intraperitoneal fluid in the setting of major pelvic injury and hemodynamic instability found to be uroperitoneum and not hemoperitoneum.