You are here

Article Text

Article menu
Download PDFPDF
Case Reports: Unusual presentation of more common disease/injury
Pseudorenal failure as a delayed presentation of a traumatic urinary bladder rupture
  1. Hanneke Pierre Franciscus Xaverius Moonen1,
  2. Michael DH Kortleve2,
  3. Roland MHG Mollen1 and
  4. Gabie de Jong1
  1. 1Surgery, Ziekenhuis Gelderse Vallei, Ede, The Netherlands
  2. 2Urology, Ziekenhuis Gelderse Vallei, Ede, The Netherlands
  1. Correspondence to Dr Gabie de Jong; mail{at}gabiedejong.com

Abstract

The urinary bladder is less susceptible to traumatic injury than other abdominal organs, due to its anatomical location behind the pubic bone. As a result, intraperitoneal urinary bladder ruptures are a rare consequence of blunt abdominal trauma and most often occur in the context of high energy and multitraumas. However, a distended bladder is more vulnerable to burst rupture even from a minor trauma, and in case of an isolated bladder injury, presentation can be delayed. We describe a case in which a patient presented 4 days after a minor blunt trauma, with an acute abdomen and pseudorenal failure as the main clinical signs of urinary ascites due to a significant bladder rupture. As an intraperitoneal bladder rupture is associated with significant morbidity and mortality and should be treated surgically, it should always be considered in patients presenting with anuria, ascites and increased serum creatinine after abdominal trauma.

  • urological surgery
  • surgery

https://doi.org/10.1136/bcr-2021-246589

Statistics from Altmetric.com

    Request Permissions

    If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.

    View Full Text

    Footnotes

    • Contributors HPFXM provided and cared for the study patient. In addition she declares to have contributed in the design, data acquisition, drafting, revision and final approval of the work and agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. MDHK provided and cared for the study patient. In addition, he declares to have contributed in the design, revision and final approval of the work, and agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. RM declares to have contributed in the design, revision and final approval of the work and agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. GdJ provided and cared for the study patient. In addition, she declares to have contributed in the design, revision and final approval of the work, and agrees to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.