We describe a 32-year-old lady who was admitted with a urinary tract infection following vacuum-assisted delivery. She was diagnosed with Enterococcus faecium related emphysematous cystitis, bladder gangrene and rupture necessitating emergency laparotomy and partial cystectomy. She had a repeat laparotomy nine days later due to continuing bladder necrosis on cystoscopy. The patient stayed in hospital for over two months due to complications including hospital acquired Klebsiella pneumonia, adult respiratory distress syndrome and malnutrition. Discharge occurred one week after an ileal conduit and ileostomy were performed.

Blunt injury abdomen is the leading cause of morbidity and mortality in all age groups. Blunt trauma differs from penetrating trauma as different organs are characteristically injured by compression from blunt straining. A total of 53 cases of blunt trauma were studied in this study for the period of 1 year. In this study, commonest cause for blunt abdominal trauma was road traffic accident. The maximum incidence was noted in 20-40 middle age group of which 90% male patients were injured. The outstanding features of injury to solid organs are haemorrhage and shock, which in hollow visceral injury shock follows with the development of peritonitis. The aim of this study is to analyse the pattern of visceral injuries and find out the morbidity and mortality in blunt abdominal trauma. X-ray revealed 100% advantage in hollow viscus perforation in blunt trauma in this study. Common mode of treatment opted was surgery. Wound infection was the common complication after surgery for blunt trauma patients. Septicaemia was the common cause of death in this study. AIM OF THE STUDY To evaluate the age and sex incidence of the involved patient population.  To evaluate the different organ systems involved and various modes of presentations as a primary tool in early diagnosis.  To find a possible treatment protocol cases of blunt trauma to the abdomen following road traffic accident.