The management of an extraperitoneal bladder injury associated with a pelvic fracture

Stern, Noah; Pignanelli, M; Welk, Blayne

doi:10.5489/cuaj.5930

Cited by 13 publications

(12 citation statements)

References 29 publications

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“…If pelvis open reduction and internal fixation is indicated, bladder repair has been shown to lower hardware infection rates. Intraperitoneal ruptures are generally treated with surgical repair [ 1 , 8 ].…”

Section: Discussionmentioning

confidence: 99%

Bladder incarceration within a displaced pelvic ring nonunion

Taylor

Lipof

Soin

2021

Trauma Case Reports

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Pelvic ring injuries can be challenging to manage and may have a range of associated injuries. When bladder injuries occur in combination with pelvic ring fractures, a multidisciplinary approach may be required to plan the best course of treatment. Acute entrapment or injury to the urinary bladder after a pelvic fracture is well reported. Here, we present an interesting case of chronic bladder incarceration within a lateral compression pelvic ring injury nonunion after failed nonoperative management of the initial pelvis fracture. Treatment of the nonunion was complicated by an incidental diagnosis of lymphoma.

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Section: Discussionmentioning

confidence: 99%

Bladder incarceration within a displaced pelvic ring nonunion

Taylor

Lipof

Soin

2021

Trauma Case Reports

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“…Afterwards, the patient responded well to conservative management without the need for surgical intervention [ 6 ]. Furthermore, it has been documented in the literature that cases of uncomplicated EPBI due to pelvic fractures can be managed conservatively with a large-bore catheter for a three-week duration [ 7 ]. This warrants that management of such uncomplicated cases can be achieved without the necessity to surgically intervene.…”

Section: Discussionmentioning

confidence: 99%

Non-Operative Management of Iatrogenic Intraperitoneal Bladder Injury Following a Cesarean Section

Albukhari¹,

Khawaji

Azhar³

2021

Cureus

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Iatrogenic bladder injuries with intraperitoneal extravasations are standardly managed surgically. However, we are presenting a case of iatrogenic intraperitoneal bladder injury developing after a cesarean section that was managed successfully by conservative therapy after tapping and pigtail drainage of 14 days. On the next follow up, which was 14 days later, there was a complete resolution with no signs of injury. Therefore, the trial of conservative approach may prove beneficial to minimize the chances of any invasive interventions in such cases.

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“…French scale) catheter used for 2-3 weeks without surgical intervention is the treatment of choice, as many of these injuries will heal without operative intervention [7,[9][10][11].…”

Section: Discussionmentioning

confidence: 99%

“…Extraperitoneal injury is usually associated with the posterior bladder wall and fibrous attachments including the pubovesical ligament, puboprostatic fascia in men, superior fascia, and inferior fascia [7]. Although previous data has suggested that conservative care with catheter drainage and follow-up imaging is the treatment of choice, for most injuries for patients with an uncomplicated extraperitoneal injury, the current predictive factors and indication of operative management (OM) of extraperitoneal bladder injury (EBI)…”

Section: Introductionmentioning

confidence: 99%

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Relevant Clinical Findings of Patients with Extraperitoneal Bladder Injury Associated with Pelvic Fracture Who Underwent Operative Management: A 6-Year Retrospective Study

et al. 2021

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Purpose: Management options for extraperitoneal bladder injury (EBI) associated with pelvic fracture are variable. Predictive factors of operative management (OM) in patients with EBI associated pelvic fracture have not been previously addressed. This study assessed the current epidemiology of blunt traumatic urinary bladder injury and evaluated relevant clinical findings of patients with EBI associated with pelvic fracture who received OM. Methods:Patients with urinary bladder injury with or without pelvic fracture from blunt trauma from January 1, 2014 to December 31, 2019 were identified from the institute trauma registry (n = 12,891). Demographics, mechanism of injury, type of urinary bladder injury, pelvic fracture configuration, and management options were analysed in the study population (n = 9,894). Results:Of the 1,400 patients who had pelvic and/or acetabular fracture, 32 (2.3%) had urinary bladder injury. Of the 8,494 patients without pelvic and/or acetabular fracture, 12 (0.1%) had nonpelvic fracture urinary bladder injury. The total incidence of urinary bladder injuries in the study population was 0.4% (44/9,894). Patients with EBI associated with pelvic fracture who underwent OM, had a higher frequency of high-grade pelvic injury (100% vs 0%, p = 0.015), concomitant pelvic surgery (75.0% vs 0%, p = 0.001), and non-lateral compression type pelvic fracture (62.5% vs 10.0%, p = 0.043) compared with patients who underwent non-operative management of EBI.Conclusions: These data suggest that OM may be considered especially in patients with EBI associated with pelvic fracture with high grade pelvic injury, concomitant pelvic surgery, and nonlateral compression type pelvic fracture.

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The management of an extraperitoneal bladder injury associated with a pelvic fracture

Cited by 13 publications

References 29 publications

Bladder incarceration within a displaced pelvic ring nonunion

Bladder incarceration within a displaced pelvic ring nonunion

Non-Operative Management of Iatrogenic Intraperitoneal Bladder Injury Following a Cesarean Section

Relevant Clinical Findings of Patients with Extraperitoneal Bladder Injury Associated with Pelvic Fracture Who Underwent Operative Management: A 6-Year Retrospective Study

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