Management of a Case of Severe Pelvic Fracture Related Bladder Trauma.

Urol Case Rep 2015 Mar 5;3(2):32-4. Epub 2015 Jan 5.

University of Utah, Section of Trauma, Burn and Critical Care, Salt Lake City, UT, USA.

A 62-year-old male was admitted after being struck by a bus. He sustained a severe pelvic fracture, sigmoid colon injury, and both intraperitoneal and extraperitoneal bladder injury. He underwent initial successful bladder repair. However, at 7 days post-operatively he manifested a leak from the repair and urine was evident coming from the pins of his pelvic external fixator. A repeat cystogram showed massive extravasation, which was managed by operative ligation of the lower ureters and placement of percutaneous nephrostomy tubes. He underwent ureteral reconstruction and colostomy reversal at 9 months. He has both bladder and bowel control.

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Source
http://dx.doi.org/10.1016/j.eucr.2014.12.003DOI Listing
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC4714254PMC
March 2015

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