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Intraperitoneal bladder rupture

Case contributed by Maria Virginia Dalmasso
Diagnosis certain

Presentation

Blunt trauma.

Patient Data

Age: 45 years
Gender: Male

Ultrasound - bladder

ultrasound

Sagittal sonography of the urinary bladder shows a wall defect at the dome and intraperitoneal free fluid.

Photo

Surgery

Case Discussion

This patient complained of severe abdominal pain after being kicked in his lower abdomen and also presented with gross hematuria and an inability to urinate.

Ultrasound obtained one hour after the trauma, demonstrates gross free fluid in the pelvis and a disruption of the urinary bladder wall.

He received immediate surgery, where a disruption of 7 cm was found in the dome of the urinary bladder. The patient has also a history of a previous bladder rupture five years earlier as a result of a road accident.

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