Open Access Open Access  Restricted Access Subscription or Fee Access

How Radiological Evaluation Helps the Urologist in Urinary Bladder Rupture Patients?


(*) Corresponding author


Authors' affiliations


DOI's assignment:
the author of the article can submit here a request for assignment of a DOI number to this resource!
Cost of the service: euros 10,00 (for a DOI)

Abstract


Urinary bladder rupture is the result of impact during significant trauma which requires immediate surgery or repair to avoid some complications. There can be permanent changes if the exact evaluation is not done by the cross sectional imaging. We present 37-years old male who sustained blunt trauma in road traffic accident (RTA) and was brought to the emergency department of the hospital. Focused assessment with ultrasound for trauma (FAST) revealed free fluid in abdomen. The cross sectional imaging by contrast enhanced computerized tomography (CECT) revealed the diagnosis as extra peritoneal rupture of the urinary bladder. The patient was treated conservatively with a bladder catheter with total recovery. Post traumatic urinary bladder injury  requires meticulous radiological evaluation for the management point of view. The issue of conservative management and surgical contemplation is decided after the cross sectional imaging evaluation.
Copyright © 2019 Praise Worthy Prize - All rights reserved.

Keywords


Bladder Rupture; Blunt Trauma; FAST; CECT

Full Text:

PDF


References


Rodder K., Olianas R., Fisch M., Bladder injury. Diagnostics and treatment. Urologe A. 2005 Aug;44(8):878-82.

Paparel P., N’Diaye A., Laumon B., Caillot J.-L., Perrin P., Ruffion A., The epidemiology of trauma of the genitourinary system after traffic accidents: analysis of a register of over 43,000 victims. BJU Int 2006;97:226-341.
https://doi.org/10.1111/j.1464-410x.2006.05900.x

Krieger J. N., Algood C. B., Mason J.T. ,Copass M. K., Ansell J. S., Urological trauma in the Pacific Northwest: etiology, distribution, management and outcome. J Urolo 1984;132:70-3.
https://doi.org/10.1016/s0022-5347(17)49467-5

Manjunath A. S., Hofer M. D., Urological Emergencies. Med. Clin. Nortjh Am. 2018 Mar;102(2):373-385.

Phillips B., Holzmer S., Turco L., Mirzaie M., Mause A., Person A., Leslie S. W., Cornell D. L., Wagner M., Bertellotti R., Asensio J. A., Trauma to the bladder and ureter: a review of diagnosis, management, and prognosis. Eur J Trauma Emerg Surg. 2017 Dec;43(6):763-773.
https://doi.org/10.1007/s00068-017-0817-3

Murata R., Kamilzumi Y., Tani Y., Ishizuka C., Kashiwakura S., Tsuji T., Kasai H., Haneda T., Yoshida T., Katano H., Ito K., Spontaneous rupture of the urinary bladder due to bacterial cystitis. J Surg Case Rep. 2018 Sep;2018(9):rjy253.
https://doi.org/10.1093/jscr/rjy253

Gross J. S., Roentenberg S., Horrow M. M., Resident and fellow education feature. Bladder injury types, mechanisms, and diagnostic imaging. Radiographics: a review publication of the Radiological Society of North America, Inc.34(3):802-3.
https://doi.org/10.1148/rg.343140022

Abu-zaden F. M., Shalak H. S., Alhaddad M. A., A diagnostic negative ultrasound finding in blunt abdominal trauma. Turk J Emerg Med 2018 Sep;18(3):125-127.
https://doi.org/10.1016/j.tjem.2018.06.003

Chan D. P., Abujudeh H. H., Cushing G. L., Noyelline R. A., CT cystography with multiplanar reformation for suspected bladder rupture: experience in 234 cases. AJR. American journal of roentgenology 2006; 187(5):1296-302.
https://doi.org/10.2214/ajr.05.0971

Clarnette T. D., Beaskey S. W., Handlebar injuries in children: patterns and prevention. Aust. N. Z. J. Surg 1997;67:338-9.

Yelon J. A., Harrigan N., Evans J. T., Bicycle trauma: a five-years experience. Am Surg 1995;61:202-5.

Ramchandani P., Buckler P. M., Imaging of genitourinary trauma. AJR Am J Roentgenol 2009:192(6):1514-23.

Avery L. L., Scheinfeld M. H., Imaging of male pelvic trauma. Radiol Clin North Am. 2012;50(6):1201-17.

Johensen N. V., Dmochowski R. R., Guillamondegui O. D., Clinical Utilty of Routine Follow-up Cystography in the Management of Traumatic Bladder ruptures. Urology. 2018 Mar;113:230-234.
https://doi.org/10.1016/j.urology.2017.11.011

Voccaro J. P., Brody J. M., CT cystography in the evaluation of major bladder trauma. Radiographics;20(5):1373-81.
https://doi.org/10.1148/radiographics.20.5.g00se111373

Kang B., Eisenberg D., Sistrun N., Son H., Postoperative intraperitoneal Bladder Rupture Detected by Renal Scintigraphy: The importance of Postvoid imaging. World J Nucl Med 2017 Oct-Dec;16(4):314-316.
https://doi.org/10.4103/1450-1147.215489





Please send any question about this web site to info@praiseworthyprize.com
Copyright © 2005-2024 Praise Worthy Prize