Bladder perforations in children

Abstract

If the patients had a pelvic injury, surgeons must pay attention for the bladder perforation. Isolated bladder perforations are rare, and they are generally associated with iatrogenic injuries. Clinicians should pay attention to findings such as anuria, inability to insert a urinary catheter, and free fluid in the abdomen in order to diagnose the bladder perforation in newborns. Novice surgeons should pay more attention to avoid causing iatrogenic bladder perforation during inguinal hernia repair.

Spontaneous urinary bladder perforation presenting as bowel obstruction in a child: a case report

“…1 Abdomen X-ray image showing proximally dilated small bowels and distally collapsed large bowels [4]. There are different cases reported in the literature, and one of the most common causes of perforation in children is pelvic injuries associated with road traffic accidents [5]. Rupture occurs in 20% of children with pelvic fractures [5].…”

A case of traumatic rupture of the urinary bladder due to a fall from a chair-style ski lift

“…Laparotomy with primary repair, with or without cystostomy, is the typical treatment for bladder injury [ 5 ]. Open surgery is necessary in patients with other injuries, but laparoscopic repair can be used in patients with isolated bladder injuries [ 7 , 8 ].…”

“…The empty bladder is well protected within the bony pelvis, but a full bladder may be distended to the level of the umbilicus, making it more vulnerable to injury. Bladder perforation or rupture is more likely if the bladder is full at the time of trauma [ 5 ]. In a clinical series of bladder perforations in children, the lesion typically occurred at the weakest part of the bladder: the dome.…”

Direct bladder hernia after indirect hernia repair in extremely low birth weight babies: two case reports and a review of the literature

“…19855 wk.MLeftInguinal hernia, bilateralNear-total bladder resection, dissection of both ureters[4] Chung and Yu 199918 mo.MRightInguinal herniaNear-total bladder resectionBladder incorporated into the indirect hernia sac[14] Koot et al . 19983 mo.FLeftInguinal herniaBladder open at the top, persistent indirect hernia on the leftPrematurity, overly medial incision and dissection of the transversalis fascia[5] Bakal et al . 2015InfantMNot givenInguinal herniaIntraperitoneal and extraperitoneal injuryIncision on the medial site of inguinal canal

F female, M male, mo.

…”

“…Rare forms of inguinal hernias may occur [5], and the surgeon must be aware that the urinary bladder can be involved in indirect and direct hernias [6–16]. …”