ISOLATED INTRAPERITONEAL URINARY BLADDER RUPTURE ON LAPAROTOMY - IN A SUSPECTING CASE OF HOLLOW VISCUS PERFORATION FOLLOWING BLUNT TRAUMA ABDOMEN : A CASE REPORT

Jiban Debnath; Harish Naik; Khagokpam Hirina Devi; Nagha D. Marak; Manoharmayum Birkumar Sharma

Volume : VIII, Issue : VIII, August - 2019

ISOLATED INTRAPERITONEAL URINARY BLADDER RUPTURE ON LAPAROTOMY - IN A SUSPECTING CASE OF HOLLOW VISCUS PERFORATION FOLLOWING BLUNT TRAUMA ABDOMEN : A CASE REPORT

Jiban Debnath, Harish Naik, Khagokpam Hirina Devi, Nagha D. Marak, Manoharmayum Birkumar Sharma

Abstract :

Bladder injuries occur due to blunt, penetrating or iatrogenic trauma. The ones that occur following blunt trauma are commonly associated with pelvic fractures and can range from contusions to bladder rupture. Extra-peritoneal ruptures occur more commonly than intra-peritoneal ruptures. Here we are reporting a rare case of intra-peritoneal bladder rupture without any bony or solid organ injury. Following a physical assault in the means of forceful kick over abdomen a 33-year-old gentleman presented to us with abdominal pain and disability to pass urine with features of peritonism. Plain X-ray chest and erect abdomen showed pneumoperitoneum (air under diaphragm). No other radiological and external injuries were detected. The patient was taken up for emergency laparotomy for suspicious of hollow viscus perforation and a full thickness linear rent at the bladder dome, ~3cm in length was found which was repaired in two layers. The patient improved post operatively and was discharged on the 9th post-operative day.