TY - JOUR PY - 2012// TI - Impalement injury of the urinary bladder: a case report JO - Korean journal of urology A1 - Morita, Jun A1 - Naoe, Michio A1 - Nakasato, Takehiko A1 - Ogawa, Yoshio SP - 435 EP - 437 VL - 53 IS - 6 N2 - Impalement injury of the urinary bladder, especially secondary to rectal impalement, is extremely rare. In this case, a 31-year-old man sustained a steel pipe impalement injury through his perirectal region. He presented with gross hematuria, abdominal defense, and a penetrating wound. On the basis of the computed tomography findings and abdominal defense, we suspected a through-and-through bladder perforation from the rectal space to the intraperitoneum. Laparotomy revealed a through-and-through bladder perforation as well as damage to the right ureter, 3 distinct ileal injuries, and rectal anterior, anal, and right seminal vesicle injuries. Surgical repair of each damaged site was undertaken. The prompt diagnosis and surgical repair ensured good postoperative recovery.
Language: en
LA - en SN - 2005-6737 UR - http://dx.doi.org/10.4111/kju.2012.53.6.435 ID - ref1 ER -