Bladder rupture after a fall on the ground in a patient with total uterine prolapse


Authors: M. Řeháčková 1;  K. Maxová 1;  J. Bárta 2;  M. J. Halaška 1;  L. Rob 1
Authors‘ workplace: Gynekologicko-porodnická klinika 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha, přednosta prof. MUDr. L. Rob, CSc. 1;  Radiodiagnostická klinika 3. LF UK a Fakultní nemocnice Královské Vinohrady, Praha, přednostka doc. MUDr. H. Malíková, Ph. D. 2
Published in: Čes. Gynek.2019, 84, č. 4 s. 289-292
Category: Case Report

Overview

Objective: The aim of this work is to present a case of traumatic bladder rupture in a patient with total uterine prolapse. Additionally, we provide a brief description of this issue.

Design: Case report.

Setting: Department of Obstetrics and Gynaecology, 3rd Faculty of Medicine, Charles University and Královské Vinohrady University Hospital, Prague; Departement of Radiology, 3rd Faculty of Medicine, Charles University and Královské Vinohrady University Hospital, Prague.

Results: We present a case report of a patient with a total uterine prolapse that has been examined for a lower abdominal pain, hematuria and difficulties with urination. The problems arose suddenly after the fall on the ground. These symptoms are typical for bladder rupture, but other more frequent causes have to be ruled out. CT scan showed a contrast agent leak from the bladder. The patient was indicated for surgical revision and suture of the bladder wall.

Conclusion: Separately, rupture of the bladder occurs rarely. Most often, this injury is part of a wider trauma – especially after car crashes. However, our case report suggests that this option should be considered.

Keywords:

bladder rupture – uterine prolapse – hematuria


Sources

1. Ho, S-Y., Chang, S-D., Liang, C-C. Simultaneous uterine and urinary bladder rupture in an otherwise successful vaginal birth after cesarean delivery. J Chin Med Assoc, 2010, 73(12), p. 655–659.

2. Kopecký, J. Poranění močové trubice a močového měchýře. Urologie prax, 2004, 5, s. 201–204.

3. Pírek, J., Šámal, V., Mečl, J. Spontánní ruptura močového měchýře: dva případy z našeho pracoviště. Ces Urol, 2017, 21(1), s. 80–84.

4. Sánchez Gómez, J., Martínez-Pineiro, L. Poranění močových cest a genitálu. Urol List, 2011, 9(1), s. 21–31.

5. Voelzke, B. Traumatic and iatrogenic bladder injury. UpToDate, 2018, 3.

Labels
Paediatric gynaecology Gynaecology and obstetrics Reproduction medicine
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