Festini G, Gregorutti S, Reina G, Bellis G B
Emergency Department, Cattinara Hospital, Trieste, Italy.
Ann Emerg Med. 1991 Dec;20(12):1371-2. doi: 10.1016/s0196-0644(05)81082-0.
Rupture of the urinary bladder secondary to abdominal trauma is uncommon and is usually associated with visceral or bone injuries; less than 10% of all cases occur without associated injuries. We present two cases of bladder rupture in intoxicated patients after minor abdominal trauma and without evidence of associated injuries. Given the absence of any symptoms in either case, we did not initially suspect bladder rupture. One of the two patients also presented with an intravesical herniation of the rectosigmoidal junction.
腹部创伤继发的膀胱破裂并不常见,通常与内脏或骨骼损伤相关;所有病例中不到10%发生时无相关损伤。我们报告两例醉酒患者在轻微腹部创伤后发生膀胱破裂且无相关损伤证据的病例。鉴于两例患者均无任何症状,我们最初并未怀疑膀胱破裂。两名患者中的一名还出现了直肠乙状结肠交界处膀胱内疝。