Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review
A 74-year-old man presented to the hospital after having a mechanical fall at home on his left side of the body. On arrival he was stable, and investigation revealed fractured left humerus, and he was admitted for observation and pain management. Two days later he started to have severe lower abdomi...
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Bulgarian Association of Young Surgeons
2017-04-01
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doaj-2178c7a1683048e291036d373d09d16b2021-04-03T16:27:18ZengBulgarian Association of Young SurgeonsInternational Journal of Surgery and Medicine2367-699X2367-699X2017-04-0132Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review Bardia BidarmaghzRyo MizumotoRasika HendahewaA 74-year-old man presented to the hospital after having a mechanical fall at home on his left side of the body. On arrival he was stable, and investigation revealed fractured left humerus, and he was admitted for observation and pain management. Two days later he started to have severe lower abdominal pain and acute kidney injury. Urinary catheter inserted and about 2 liters of bloody urine emptied, and Abdominopelvic CT scan requested which showed massive fluid in the retroperitoneal area, subsequent CT Cystogram confirmed perforation of the bladder on the left lateral wall. The patient was hemodynamically stable and kept in a high intensive care unit for close observation, and he improved dramatically, and follow-up scan showed healing of perforated bladder. Bladder rupture is not a standard presentation after blunt trauma but should be kept in mind when dealing with elderly patients with pre-existing urinary retention or other medical comorbidities.http://www.ejmanager.com/fulltextpdf.php?mno=252781bladder ruptureurinary retentionct cystogramUro-retroperitoneum |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Bardia Bidarmaghz Ryo Mizumoto Rasika Hendahewa |
spellingShingle |
Bardia Bidarmaghz Ryo Mizumoto Rasika Hendahewa Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review International Journal of Surgery and Medicine bladder rupture urinary retention ct cystogram Uro-retroperitoneum |
author_facet |
Bardia Bidarmaghz Ryo Mizumoto Rasika Hendahewa |
author_sort |
Bardia Bidarmaghz |
title |
Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review |
title_short |
Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review |
title_full |
Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review |
title_fullStr |
Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review |
title_full_unstemmed |
Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review |
title_sort |
isolated bladder rupture in an elderly patient after blunt trauma. case report and review |
publisher |
Bulgarian Association of Young Surgeons |
series |
International Journal of Surgery and Medicine |
issn |
2367-699X 2367-699X |
publishDate |
2017-04-01 |
description |
A 74-year-old man presented to the hospital after having a mechanical fall at home on his left side of the body. On arrival he was stable, and investigation revealed fractured left humerus, and he was admitted for observation and pain management. Two days later he started to have severe lower abdominal pain and acute kidney injury. Urinary catheter inserted and about 2 liters of bloody urine emptied, and Abdominopelvic CT scan requested which showed massive fluid in the retroperitoneal area, subsequent CT Cystogram confirmed perforation of the bladder on the left lateral wall. The patient was hemodynamically stable and kept in a high intensive care unit for close observation, and he improved dramatically, and follow-up scan showed healing of perforated bladder. Bladder rupture is not a standard presentation after blunt trauma but should be kept in mind when dealing with elderly patients with pre-existing urinary retention or other medical comorbidities. |
topic |
bladder rupture urinary retention ct cystogram Uro-retroperitoneum |
url |
http://www.ejmanager.com/fulltextpdf.php?mno=252781 |
work_keys_str_mv |
AT bardiabidarmaghz isolatedbladderruptureinanelderlypatientafterblunttraumacasereportandreview AT ryomizumoto isolatedbladderruptureinanelderlypatientafterblunttraumacasereportandreview AT rasikahendahewa isolatedbladderruptureinanelderlypatientafterblunttraumacasereportandreview |
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1721543782312181760 |