Laparoscopic Repair of a Traumatic Bladder Rupture

Marchand, Tiffany; Cuadra, Rene Hugo; Ricchiuti, Daniel

doi:10.4293/108680812x13291597716546

Cited by 23 publications

(26 citation statements)

References 11 publications

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“…Recent studies have described laparoscopic repair of intraperitoneal urinary bladder rupture. Marchand et al stated that laparoscopic repair should be performed only in a stable patient with an isolated bladder rupture or minimal other injuries [10]. In the present case, we could not rule out perforation of the digestive tract.…”

Section: Discussioncontrasting

confidence: 58%

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Intraperitoneal Urinary Bladder Perforation Observed in a Patient with an Indwelling Urethral Catheter

Ogawa¹,

Date²,

Muraki³

2013

Case Reports in Urology

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This report describes a rare case of an 86-year-old man with an indwelling urethral catheter who developed severe abdominal pain and was diagnosed with intraperitoneal urinary bladder perforation. A home-visiting nurse suspected catheter obstruction and performed a catheter exchange. However, bladder irrigation could not subsequently be performed. Computed tomography of the abdomen and pelvis after transurethral perfusion of contrast medium demonstrated extravasation of the contrast material into the peritoneal cavity. Furthermore, the Foley catheter balloon was positioned in the peritoneal cavity through the bladder. The patient was diagnosed with peritonitis due to spontaneous intraperitoneal perforation of the urinary bladder, and exploratory laparotomy was performed. During exploration, a perforated tear at the top of the bladder was discovered where the Foley catheter had penetrated the bladder. The Foley catheter balloon was floating freely in the peritoneal cavity. There was no evidence of pathologic lesions, such as cancer or inflammatory mass at the site of the injured peritoneum. Successful closure of the damaged peritoneum and bladder was performed. Since the proportion of elderly individuals continues to increase in the general Japanese population, the incidence of the chronic Foley catheterization is expected to increase. Therefore, clinicians should be aware of this potential complication.

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Section: Discussioncontrasting

confidence: 58%

“…Quagliano et al stated that CT scan is the standard tool for evaluation of abdominal injuries [8]. However, other studies suggest that retrograde cystogram is the best method to diagnose bladder injuries [9, 10]. Appropriately selecting CT scan or cystogram is important in proper diagnosis of bladder injuries [1].…”

Section: Discussionmentioning

confidence: 99%

Intraperitoneal Urinary Bladder Perforation Observed in a Patient with an Indwelling Urethral Catheter

Ogawa¹,

Date²,

Muraki³

2013

Case Reports in Urology

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“…Lower abdominal ultrasonography and cystoscopy of our patient rapidly resulted in an accurate initial diagnosis. Some reports have described retrograde cystography to evaluate bladder injury . Quagliano et al .…”

Section: Discussionmentioning

confidence: 99%

“…Immediate surgery is needed for patients with intraperitoneal bladder perforation because it can easily lead to fatal systematic infection. Recent reports have described the laparoscopic repair of intraperitoneal bladder injury . On the other hand, Gorecki et al .…”

Section: Discussionmentioning

confidence: 99%

Delayed diagnosis of intraperitoneal bladder perforation after blunt trauma

et al. 2019

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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.

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“…This helps decide a laparoscopic approach for repair in cases in which the injury is at the dome. 9 A bladder injury can occur due to blunt trauma abdomen even in the absence of any other bony or soft tissue injury and a high clinical suspicion helps identify these injuries early.…”

Section: Discussionmentioning

confidence: 99%

Isolated intraperitoneal rupture of the urinary bladder following blunt trauma abdomen

Arumugam

2017

Int Surg J

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Bladder injuries occur due to blunt, penetrating or iatrogenic trauma. The ones that occur following blunt trauma are commonly associated with pelvic fractures and can range from contusions to bladder rupture. Extraperitoneal ruptures occur more commonly than intraperitoneal ruptures. Here we present an uncommon case of intraperitoneal bladder rupture without any bony or solid organ injury. Following a fall from his motorbike a 42-year-old gentleman presented to us with abdominal pain, inability to pass urine with features of peritonism. CT cystography showed contrast leak into the peritoneal cavity. No other injuries were detected. The patient was taken up for emergency laparotomy and a full thickness rent in the bladder dome, 7 cm in length was found which was repaired in two layers with a supra pubic catheter. The patient improved post operatively and was discharged on the 3rd post-operative day. Intraperitoneal bladder ruptures are possible even without pelvic fractures and can be missed on routine imaging of the abdomen. A high degree of suspicion with appropriate imaging (CT cystography) is necessary in all such cases to ensure timely diagnosis and intervention.

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Laparoscopic Repair of a Traumatic Bladder Rupture

Abstract: The authors conclude that laparoscopic repair of traumatic intraperitoneal urinary bladder rupture is a practical alternative to conventional open repair.

Cited by 23 publications

References 11 publications

Intraperitoneal Urinary Bladder Perforation Observed in a Patient with an Indwelling Urethral Catheter

Intraperitoneal Urinary Bladder Perforation Observed in a Patient with an Indwelling Urethral Catheter

Delayed diagnosis of intraperitoneal bladder perforation after blunt trauma

Isolated intraperitoneal rupture of the urinary bladder following blunt trauma abdomen

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