Bladder Neck Rupture following Perineal Bull Horn Injury: A Surgical Challenge

Padilla‐Fernández, Bárbara; Díaz-Alférez, Fj.; García-García, Miguel Ángel; Herrero-Polo, Manuel; Velasquez-Saldarriaga, J F; Lorenzo-Gómez, María Fernanda

doi:10.4137/ccrep.s10234

Cited by 3 publications

(2 citation statements)

References 13 publications

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“…3 Berdasarkan klasifikasi American Association for the Surgery of Trauma (AAST), trauma kandung kemih dibagi menjadi 5 tipe untuk membantu penentuan tata laksana yang tepat. 5 Patofisiologi Kandung kemih terletak di pelvis anterior orang dewasa. Kubah dilapisi oleh peritoneum, dan leher kandung kemih difiksasi ke pelvis nicholasandrian1606@gmail.com Tabel.…”

Section: Klasifikasiunclassified

“…Klasifikasi trauma kandung kemih berdasarkan American Association for the Surgery of Trauma (AAST). 5 TINJAUAN PUSTAKA oleh fasia dan ligamen. Ruptur kandung kemih intraperitoneal terjadi pada kubah kandung kemih dan di atas peritoneal reflection, sedangkan ruptur kandung kemih ekstraperitoneal terjadi di bawah peritoneal reflection dan pada sisi anterior atau lateral kandung kemih.…”

Section: Klasifikasiunclassified

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Diagnosis dan Tata Laksana Ruptur Kandung Kemih

Singgih¹

2022

CDK

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<p>Ruptur kandung kemih merupakan kegawatdaruratan di bidang urologi yang jarang. Evaluasi klinis yang tepat dan pemeriksaan radiologi memiliki peranan penting dalam diagnosis. Penatalaksanaan yang terlambat dan tidak tepat akan menyebabkan penurunan kualitas hidup hingga peningkatan mortalitas.</p><p>Bladder rupture is a rare urologic emergency. Relevant clinical evaluation and radiological examination are important in diagnosis. Late and inappropriate management may decrease quality of life, and also may increase mortality.</p>

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Section: Klasifikasiunclassified

Diagnosis dan Tata Laksana Ruptur Kandung Kemih

Singgih¹

2022

CDK

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Bull horn vascular injuries in popular celebrations: A 40-year retrospective analysis

Norberto

Olmo²,

Diago

et al. 2022

Journal of Vascular Surgery

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Perineal Bull Gore with Urinary Bladder Perforation and Pneumoperitoneum

Santhosh¹

2013

JCDR

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Animal related injuries are frequently reported in India and other countries, where bulls are used for sporting events as well as in places where farming and livestock rearing is practised. The presentation is, many times, atypical and misleading as well.They have unique mechanics of injury. The patterns of the injury are reviewed. An intra-peritoneal urinary bladder injury which is caused by a perineal bull gore with a pneumoperitoneum is unusual and it has not been reported in the literature which was reviewed. We are reporting a successfully treated 25 years old male patient from the slopes of the southern district of Manipur, India, who had presented 40 hours after he was injured. The identification and prompt exploration, keeping in mind the mechanics of bull goring, helps the surgeons to adequately deal such atypical injuries, for optimal outcomes.SanthoSh R, aRun KumaR baRad, hemanth SuReShWaRa GhaliGe, SRidaRtha K, biRKumaR ShaRma m InTRoduCTIonAnimal related injuries are frequently reported in countries where bulls are used for sporting events as well as in places where farming and livestock rearing is practised [1,2]. In India, it is commonly seen in the "Jallikattu" event of taming bulls, which is organized as a part of Pongal -a festival of the harvest season which is celebrated across Tamil Nadu, India. Injuries, minor to fatal, are caused by bull gores. An intra-peritoneal urinary bladder injury which was caused by a perineal bull gore has not been reported in the available literature. One of the oldest reports which had described a bladder injury had come from Baron Jean Dominique Larry, who was a military surgeon to Napoleon Bonaparte, who had witnessed a drunken soldier trying his hand as a matador and entering the bull-ring. He was gored. Larry took him to the hospital, explored the wound, decompressed his bladder with a gum elastic catheter, and reduced the herniated bladder mucosa through the torn muscles of the groin. He was found to be cured six months later [3].The mechanics of bull goring are unique and often misleading and thence, they deserve reporting. We are reporting an unusual case with a bull gore injury to the perineum, who presented with a pneumoperitoneum and urinary bladder perforation. CASe SummARyA 25 year old male patient from the slopes of the southern district of Manipur, presented 40 hours after receiving a bull horn injury to the perineum. There was a history of extravasation of blood mixed urine through the perineal wound and the anus. At presentation, his vitals were found to be stable but he had signs of peritonitis and mild abdominal distention. He had a penetrating wound which was 3x1cms lateral to the anal orifice, on the right side [Table/ Fig-1], which was large enough to be digitally explored under local anaesthesia, with minimal patient discomfort. There was an abrasion on his buttocks, of nearly 10 cm, which tapered into it. A digital rectal examination and proctoscopy neither revealed any urine leak nor any sign of a rectal injury; there was no loss o...

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Bladder Neck Rupture following Perineal Bull Horn Injury: A Surgical Challenge

Cited by 3 publications

References 13 publications

Diagnosis dan Tata Laksana Ruptur Kandung Kemih

Diagnosis dan Tata Laksana Ruptur Kandung Kemih

Bull horn vascular injuries in popular celebrations: A 40-year retrospective analysis

Perineal Bull Gore with Urinary Bladder Perforation and Pneumoperitoneum

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