Home|Journals|Articles by Year Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access

Original Research

Can A Traumatic Bladder Injury be Fatal: A Case Series of 8 Patients

Suhail Yaqoob Hakim, Arshad Rashid, Mohammad Ashraf Khanday, Mohammad Yousuf Dar, Ismail Ather, Omar Rashid.

Objective: Bladder injuries can be fatal if mismanaged. We report a small series of eight patients with a pelvic fracture causing bladder injury, where the bony spicules were intruding the bladder musculature, preventing it from healing, thereby leading to fistula, sepsis and death.
Methods: 8 patients had a pelvic fracture along with a bladder injury. All the patients were initially operated on by a general surgeon, either immediately (4 patients) or after delayed diagnosis of a bladder rupture was made. In all cases, the bladder was primarily closed with both a suprapubic and periurethral catheter. Post-operatively, all the patients developed urine leakage and wound infection. Patients were later referred to us in a state of septicemia. After initial resuscitation and hemodynamic stabilization, all patients were subjected to re-exploration. The bladder was sutured with an omental graft and urinary diversion in the form of bilateral ureteric catheters, a suprapubic catheter, and periurethral catheter was done. All the patients developed recurrent urinary leakage after a variable period of time and landed in septicemia. Bilateral nephrostomies were done; however, these patients continued to deteriorate and succumbed.
Conclusions: Early detection and early repair is the key to success in a bladder injury. Bilateral percutaneous nephrostomy and re-exploration with bladder drainage does not help once sepsis sets in.

Key words: Bladder Trauma, pelvic fracture, percutaneous nephrostomy.

Full-text options

Full-text Article

Journal of Behavioral Health


BiblioMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About BiblioMed
License Information
Terms & Conditions
Privacy Policy
Contact Us

The articles in Bibliomed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright ScopeMed Information Services.