Type:
Educational Exhibit
Keywords:
Surgery, Diagnostic procedure, Cystography / Uretrography, CT, Urinary Tract / Bladder, Trauma, Abdomen, Acute, Education and training
Authors:
P. Concejo Iglesias, J. Cubero Carralero, C. Ferreiro Arguelles, W. A. Ocampo Toro, J. H. Álvarez Cuenca, D. F. Blanco García, M. A. Hoyas García; Leganés (Madrid)/ES
DOI:
10.26044/ecr2019/C-2413
Background
Despite the fact that bladder injuries are rare,
imaging plays an important role since appropriate management lead to reduced morbidity and mortality.
They can be categorized as traumatic - blunt or penetrating- and spontaneous.
Bladder injuries are an uncommon entity.
It can occur spontaneously [1] after blunt trauma,
which represents 85% of cases,
penetrating trauma or iatrogenic [1,
2].
The susceptibility to bladder injury is related to the degree of distension of the bladder [3,
4].
The most frequent type is extraperitoneal which management is nonsurgical [2,
5].
Bladder injuries are associated with pelvis fractures up to 60-80% of cases [6,
7,
8].
Pubic arch fractures are more likely to be associated with bladder injury [7].
Bladder iatrogenic lesions account for 0.11% of surgeries,
most common after obstetric/gynecologic surgery,
colorectal surgery or transurethral bladder tumor resection [2,
9].
Spontaneous rupture may occur after vomiting,
vaginal delivery,
in association with urinary tract infection,
urinary retention [1,
2,
10],
alcoholism secondary to bladder sensitivity alterations,
inflammation (eosinophilic cystitis),
giant vesical calculus,
radiation therapy and intraarterial chemotherapy [1,
10].