E-ISSN 2367-699X | ISSN 2367-7414
 

Case Report 


Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa.

Abstract
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.

Key words: Bladder rupture. Urinary Retention. CT Cystogram. Uro-retroperitoneum.


 
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How to Cite this Article
Pubmed Style

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa. Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review. Int J Surg Med. 2017; 3(2): 136-139. doi:10.5455/ijsm.bladder-rupture-blunt-trauma


Web Style

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa. Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review. http://www.ejos.org/?mno=252781 [Access: November 03, 2020]. doi:10.5455/ijsm.bladder-rupture-blunt-trauma


AMA (American Medical Association) Style

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa. Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review. Int J Surg Med. 2017; 3(2): 136-139. doi:10.5455/ijsm.bladder-rupture-blunt-trauma



Vancouver/ICMJE Style

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa. Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review. Int J Surg Med. (2017), [cited November 03, 2020]; 3(2): 136-139. doi:10.5455/ijsm.bladder-rupture-blunt-trauma



Harvard Style

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa (2017) Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review. Int J Surg Med, 3 (2), 136-139. doi:10.5455/ijsm.bladder-rupture-blunt-trauma



Turabian Style

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa. 2017. Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review. International Journal of Surgery and Medicine, 3 (2), 136-139. doi:10.5455/ijsm.bladder-rupture-blunt-trauma



Chicago Style

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa. "Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review." International Journal of Surgery and Medicine 3 (2017), 136-139. doi:10.5455/ijsm.bladder-rupture-blunt-trauma



MLA (The Modern Language Association) Style

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa. "Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review." International Journal of Surgery and Medicine 3.2 (2017), 136-139. Print. doi:10.5455/ijsm.bladder-rupture-blunt-trauma



APA (American Psychological Association) Style

Bardia Bidarmaghz, Ryo Mizumoto, Rasika Hendahewa (2017) Isolated bladder rupture in an elderly patient after blunt trauma. Case report and review. International Journal of Surgery and Medicine, 3 (2), 136-139. doi:10.5455/ijsm.bladder-rupture-blunt-trauma