Bladder Trauma

BLADDER TRAUMA

      The urinary bladder can be injured in case of blunt injury to abdomen and can occur with or without fracture of the pelvis. This rupture of the bladder can lead to extravasation of urine into the peritoneal cavity or into the extraperiteal space (Fig26.8). This is because the bladder partly intraperitaneal and the rest extra pertoneal. Intropertoneal extravasation produces severe pain in the hypogastrium with shock (syncope). The abdomen starts to distened. Examination will show gaurding and with large extravastion shifting dullness there will be no desire to pass urine extraperitaveal rapture will have little or no abdominal complaints but there will be retention of urine.

13.1 TREATMENT

Required early diagnosis in blunt injury cases confirmation by cystography if required and a surgical repair in two layers of the rupture in the bladder wall is essential.

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