Blunt abdominal trauma presenting as an isolated intraperitoneal bladder rupture: A diagnostic and therapeutic dilemma

Money Gupta; Sukhminder Jit Singh Bajwa; Arvinder Pal Singh; Meenal Khanna; Lehar Khanna

doi:10.4103/ijhas.IJHAS_93_16

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Year : 2017 | Volume : 6 | Issue : 3 | Page : 177-179

Blunt abdominal trauma presenting as an isolated intraperitoneal bladder rupture: A diagnostic and therapeutic dilemma

Money Gupta¹, Sukhminder Jit Singh Bajwa², Arvinder Pal Singh³, Meenal Khanna², Lehar Khanna⁴
¹ Department of Paediatric surgery, M.M.Medical College, Solan, Himachal Pradesh, India
² Department of Anaesthesiology and Intensive Care, Gian Sagar Medical College and Hospital, Ram Nagar, Banur, Punjab, India
³ Department of Anaesthesiology and Intensive Care, SGRD Medical College, Amritsar, Punjab, India
⁴ Department of Anaesthesiology and Intensive Care, DMC, Ludhiana, Punjab, India

Correspondence Address:
Sukhminder Jit Singh Bajwa
House No-27-A, Ratan Nagar, Tripuri, Patiala, Punjab
India

Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/ijhas.IJHAS_93_16

Bladder rupture is very rare clinical finding in pediatric age group. This should be suspected in any child who does not pass urine, develops abdominal distension, pain, and tenderness in the lower abdomen after sustaining blunt trauma to the abdomen. Delay in presentation and diagnosis further increases the morbidity and mortality. Isolated bladder rupture is a rare consequence of blunt trauma in the absence of pelvic fracture. We are reporting a rare case with an isolated bladder rupture in which no any other associated injury was present. The patient had presented 24 h after sustaining the injury with clinical features of anuria and peritonitis. Emergency surgery was undertaken to save the child.

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