Shah Amar, Shah Anirudh
Amardeep Multispecialty Children Hospital and Research Centre, Ahmedabad, Gujarat, India.
J Minim Access Surg. 2022 Oct-Dec;18(4):603-605. doi: 10.4103/jmas.jmas_287_21.
Intraperitoneal bladder rupture is a rare event in the paediatric population. Road traffic accidents (RTA) and seat belt injuries are considered to be the main cause for the same. We report an interesting case of a 1-year-old girl who had a laparoscopic repair of intraperitoneal bladder tear following a non-RTA injury. This is the smallest child where intraperitoneal bladder rupture was repaired laparoscopically. This mechanism of injury-causing bladder rupture has also not been reported across world literature. The child was sleeping on the floor near the bed with her mother. The father who was sleeping on the bed accidentally fell onto this child. Imaging showed large amount of clear intraperitoneal fluid with no organ injury. Laparoscopy showed a 3.5 cm long tear on the posterior wall of the bladder. The tear was repaired using 3 mm instruments.
小儿腹腔内膀胱破裂是一种罕见的情况。道路交通事故（RTA）和安全带损伤被认为是其主要原因。我们报告了一例有趣的病例，一名1岁女孩在非道路交通事故损伤后接受了腹腔镜下腹腔内膀胱撕裂修补术。这是接受腹腔镜下腹腔内膀胱破裂修补术年龄最小的患儿。这种导致膀胱破裂的损伤机制在世界文献中也未见报道。患儿与母亲睡在床边的地板上。睡在床上的父亲不小心掉到了这个孩子身上。影像学检查显示腹腔内有大量清亮液体，无器官损伤。腹腔镜检查显示膀胱后壁有一个3.5厘米长的撕裂口。使用3毫米器械修复了撕裂口。
