Grünherz Lisanne, Startseva Xenia, Kozomara-Hocke Marko, Barth Borna K, Simmen Hans-Peter, Mica Ladislav, Rauer Thomas
University Hospital Zurich, Division of Trauma Surgery, Rämistrasse 100, CH-8091 Zurich, Switzerland.
University Hospital Zurich, Department of Urology, Rämistrasse 100, CH-8091 Zurich, Switzerland.
Int J Surg Case Rep. 2017;38:119-121. doi: 10.1016/j.ijscr.2017.07.029. Epub 2017 Jul 22.
While isolated traumatic urinary bladder injuries are rare, combined intra- and extraperitoneal traumatic urinary bladder ruptures without an underlying fracture are an absolute rarity.
We report a case of combined intra- and extraperitoneal urinary bladder rupture without an underlying fracture resulting from blunt abdominal trauma during a high velocity car accident. A midline laparotomy was performed, and the intra- and extraperitoneal bladder ruptures were surgically treated.
Based on the presented case the anatomical peculiarities of the urinary bladder and the different trauma mechanisms as well as the resulting lesions, the diagnostic modalities and the treatment options are discussed.
Despite the rarity of traumatic urinary bladder injuries, and especially in the absence of an underlying fracture, physicians should maintain a high level of suspicion for urologic injuries in the presence of nonspecific lower abdominal pain, gross haematuria and the inability to urinate.
虽然孤立性创伤性膀胱损伤很少见，但合并腹膜内和腹膜外创伤性膀胱破裂且无潜在骨折的情况绝对罕见。
我们报告一例因高速车祸导致钝性腹部创伤而出现的合并腹膜内和腹膜外膀胱破裂且无潜在骨折的病例。进行了中线剖腹手术，并对腹膜内和腹膜外膀胱破裂进行了手术治疗。
基于所呈现的病例，探讨了膀胱的解剖学特点、不同的创伤机制以及由此产生的损伤、诊断方法和治疗选择。
尽管创伤性膀胱损伤罕见，尤其是在没有潜在骨折的情况下，但在出现非特异性下腹痛、肉眼血尿和无法排尿时，医生应高度怀疑存在泌尿系统损伤。
