Posttraumatic hemorrhagic bladder rupture managed with transurethral foley catheter placement and bilateral transcatheter vesical artery embolization.

Autor:	Vanheer R; Department of Radiology, University Hospitals Leuven, Leuven, Belgium., De Wever L; Department of Radiology, University Hospitals Leuven, Leuven, Belgium., Maleux G; Department of Radiology, University Hospitals Leuven, Leuven, Belgium.
Jazyk:	angličtina
Zdroj:	Acta chirurgica Belgica [Acta Chir Belg] 2023 Aug; Vol. 123 (4), pp. 427-429. Date of Electronic Publication: 2022 Jan 19.
DOI:	10.1080/00015458.2022.2028452
Abstrakt:	Background: Outcome of minimally invasive treatment of posttraumatic, hemorrhagic bladder rupture is unknown. Methods: A 41-year-old male presented at the emergency department with pelvic and scrotal pain and macroscopic hematuria after a motor vehicle accident. Contrast-enhanced computed tomography revealed an open book fracture and an arterial phase contrast media extravasation posterior to the symphysis pubis and anterior to the urethra-vesical junction. Results: The open book fracture was treated with an external fixation and the persistent bleeding was managed with insertion of a Foley catheter and bilateral embolization of the vesical arteries. Conclusion: Minimally invasive treatment, including vesical artery embolization and placement of a Foley catheter can be effective in the treatment of posttraumatic, hemorrhagic bladder rupture.
Databáze:	MEDLINE
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