Wang L, Ogawa S, Onagi A, Tanji R, Honda R, Matsuoka K, Hoshi S, Koguchi T, Kurimura Y, Onoda M, Hata J, Yabe M, Sato Y, Akaihata H, Kataoka M, Haga N, Ishibashi K, Kojima Y. Delayed diagnosis of intraperitoneal bladder perforation after blunt trauma.
IJU Case Rep 2019;
2:83-85. [PMID:
32743380 PMCID:
PMC7292062 DOI:
10.1002/iju5.12045]
[Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/25/2018] [Accepted: 12/12/2018] [Indexed: 12/20/2022] Open
Abstract
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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