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. 2012 Dec;6(6):E256-8.
doi: 10.5489/cuaj.11095.

Conservative treatment of concomitant extraperitoneal bladder rupture and intrabladder blood clot formation: Case report of application of ureteral catheterization

Chih-Yuan Fu  1 , Chun-Han Shih, Po-Yen Chang, Chi-Hao Hsiao, Yu-Chun Wang, Ray-Jade Chen
Affiliations

Conservative treatment of concomitant extraperitoneal bladder rupture and intrabladder blood clot formation: Case report of application of ureteral catheterization

Chih-Yuan Fu et al. Can Urol Assoc J. 2012 Dec.

Abstract

Most extraperitoneal bladder ruptures can be treated conservatively with catheter drainage only. However, in patients with concomitant intrabladder blood clot formation and extraperitoneal bladder rupture, surgery for blood clot evacuation and bladder repair are usually needed due to occlusion of the urinary catheter. In our patient, we used a ureteral catheter to bypass the clots in the bladder to provide adequate urinary drainage. This procedure serves as a valuable tool in the conservative treatment of extraperitoneal bladder injury.

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Figures

Fig. 1
Fig. 1
Sonography revealed intrabladder blood clot formation (arrow).
Fig. 2
Fig. 2
An active hemorrhage was revealed on enhanced computed tomography due to contrast extravasation (arrow) (A). The cystogram revealed extraperitoneal bladder rupture (B).
Fig. 3
Fig. 3
Established protocol for definitive treatment of bladder injury.
See this image and copyright information in PMC

References

    1. Cass AS, Luxenberg M. Features of 164 bladder ruptures. J Urol. 1987;138:743–58. - PubMed
    1. Cass AS, Luxenberg M. Management of extraperitoneal ruptures of bladder caused by external trauma. Urology. 1989;33:179–83. doi: 10.1016/0090-4295(89)90386-5. - DOI - PubMed
    1. Corriere JN, Jr, Sandler CM. Management of the ruptured bladder: seven years of experience with 111 cases. J Trauma. 1986;26:830. doi: 10.1097/00005373-198609000-00009. - DOI - PubMed
    1. Gomez RG, Ceballos L, Coburn M, et al. Consensus statement on bladder injuries. BJU Int. 2004;94:27–32. doi: 10.1111/j.1464-410X.2004.04896.x. - DOI - PubMed
    1. Lynch TH, Martínez-Piñeiro L, Plas E, et al. EAU guidelines on urological trauma. Eur Urol. 2005;47:1–15. doi: 10.1016/j.eururo.2004.07.028. - DOI - PubMed

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