TY - JOUR PY - 2015// TI - A case of extraperitoneal bladder rupture in which a surgical operation was necessary JO - Journal of the Japanese Association for the Surgery of Trauma A1 - Yamamura, Eiji A1 - Matsuda, Kiyoshi A1 - Mochizuki, Toru A1 - Kikuchi, Hiroko A1 - Ishimaru, Naoki A1 - Hashizume, Akihiro A1 - Endo, Hirofumi A1 - Kasai, Hanako A1 - Kurokawa, Akira SP - 368 EP - 371 VL - 29 IS - 3 N2 - We treated a case of traumatic extraperitoneal bladder rupture and achieved a good clinical outcome via surgical operation. The patient, a 70-year-old female, had jumped from the 2nd floor of a building in order to commit suicide. Contrast computed tomography images showed disruption of the bladder wall, and extravasation of contrast medium was observed. After tests, the vital signs showed that the patient had gone into shock, and emergency surgery was performed. We repaired an 8-cm-long injury of the anterior bladder wall. The postoperative course was favorable. A contrasted cystogram was obtained 3 weeks postoperatively. We confirmed that there was no leakage of contrast medium from the bladder wall. The patient had extraperitoneal bladder rupture complicating a pelvic fracture, and a pessary may have caused enlargement of the injury site. We selected surgical operation for this case of extraperitoneal bladder rupture and achieved a favorable clinical outcome.
Language: ja
LA - ja SN - 1340-6264 UR - http://dx.doi.org/10.11382/jjast.29.368 ID - ref1 ER -