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Abstract

We analysed the inter-relationships of the cause and the type of trauma, the presence of pelvic fracture, the associated intraabdominal organ injuries, and the morbidity and mortality rates in 154 patients presenting and being treated for UGT between 1983 and 1997. The cause of injury was blunt in 77% of cases and penetrating in 13%. The most frequently injured organs were kidney followed by urethra and bladder. Bowels, liver and spleen were the most frequently associated injured organs. Moreover, bladder injuries were strongly associated with bowel injuries (p < 0.0001). Hemodynamically normal 49 children with minor or major kidney injuries were managed conservatively. Hemodynamically non-stable 11 patients were explored. The majority of urogenital injuries can be managed conservatively even when associated with intraabdominal organ injuries. Solid genitourinary organ injuries may accompany more frequently to intraperitoneal solid organ injury. Whereas, non-solid genitourinary organ injuries may more frequently associated with injuries of intraperitoneal hollow viscus.

Laparoscopic repair in children with traumatic bladder perforation

“…Blunt injury of the urinary bladder is well-known and usually associated with pelvic fractures. [ 1 ] Less than 2% of all blunt abdominal trauma results in traumatic intraperitoneal bladder rupture. Haematuria is the most common onset of bladder perforation.…”

“…Haematuria is the most common onset of bladder perforation. [ 1 ] Regional trauma signs such as skin abrasions and abdominal distension are also common. In Case 2, gross haematuria was present as an initial sign; thus, diagnosis was done early.…”

“…Bladder perforation in childhood is rare, accounting for only 0.05-2.0% of all pelvic trauma cases. [ 1 ] In children of a younger age, the bladder is located somewhat intraperitoneally, making it vulnerable to perforation when full at the time of trauma. Blunt injury is more common in patients with bladder perforation (greater than 80-95%).…”

“…Blunt injury is more common in patients with bladder perforation (greater than 80-95%). [ 1 ] The bladder dome is the most common perforation site and is also the weakest point. Before the introduction of laparoscopy, open surgery was the only treatment option for adults and children with intraperitoneal bladder perforation.…”

Intraperitoneal bladder rupture in a 1 year old

“…It accounts for only 0.05%–2% of all pelvic trauma cases. [ 1 ] Most of the intraperitoneal bladder injuries have been reported to occur in road traffic accidents (RTA) and predominantly due to seat belt compression. [ 2 ] Because of the shallow pelvis in young children, the bladder appears intra-abdominal.…”