Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review
| Autor: | Rasika Hendahewa, Bardia Bidarmaghz, Ryo Mizumoto |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
medicine.medical_specialty
urinary retention Urinary retention business.industry Perforation (oil well) lcsh:R Acute kidney injury lcsh:Medicine medicine.disease ct cystogram Intensive care unit Surgery law.invention Bladder rupture Blunt trauma law Uro-retroperitoneum medicine bladder rupture medicine.symptom Presentation (obstetrics) Elderly patient business |
| Zdroj: | International Journal of Surgery and Medicine, Vol 3, Iss 2 (2017) |
| Popis: | A 74-year-old man presented to the hospital after having a mechanical fall at home on his left side of the body. On arrival he was stable, and investigation revealed fractured left humerus, and he was admitted for observation and pain management. Two days later he started to have severe lower abdominal pain and acute kidney injury. Urinary catheter inserted and about 2 liters of bloody urine emptied, and Abdominopelvic CT scan requested which showed massive fluid in the retroperitoneal area, subsequent CT Cystogram confirmed perforation of the bladder on the left lateral wall. The patient was hemodynamically stable and kept in a high intensive care unit for close observation, and he improved dramatically, and follow-up scan showed healing of perforated bladder. Bladder rupture is not a standard presentation after blunt trauma but should be kept in mind when dealing with elderly patients with pre-existing urinary retention or other medical comorbidities. |
| Databáze: | OpenAIRE |
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