Delayed diagnosis of intraperitoneal bladder perforation after blunt trauma

Abstract

Introduction Intraperitoneal urinary bladder perforation due to blunt trauma in intoxicated patients requires quick and accurate diagnosis. However, this is difficult to correctly diagnose in intoxicated patients because their symptoms can be masked. We describe a rare case of intraperitoneal urinary bladder perforation that occurred after blunt trauma. Case presentation A 66‐year‐old intoxicated man stumbled, tripped on a stone step and landed on his lower abdomen, but felt no pain at the time. Two days later, he was diagnosed with intraperitoneal urinary bladder perforation, which was repaired by open surgery. Conclusion Urinary bladder perforation should be considered when patients present with abdominal pain and decrease in urine volume following trauma.

‘FAST positive’ reversal & pneumoperitoneum: A novel sign of traumatic bladder rupture

“…Intraperitoneal rupture accounts for 38-40% of all bladder ruptures and occurs due to a sudden rise in intravesicular pressure secondary to blunt trauma which results in rupture of the dome which is the weakest and most mobile part of the bladder. 3…”

“…Concomitant digestive tract injury and/or anaerobic infection are sine-qua-non for pneumoperitoneum in a case of bladder rupture. 3…”

“…2 Pelvic fracture is the most common associated injury 1,2 and ascites the most typical manifestation on CT in stable patients. 3 Retrograde cystography is gold standard for diagnosing bladder injuries in stable patients. 2 However, we hereby report pneumoperitoneum and “reversal” of FAST (Focused Abdominal Sonography for Trauma) positive status as presenting signs of bladder injury.…”