Important Points of Diagnosis and Treatment Strategy of Intraperitoneal Bladder Perforation due to Blunt Pelvic Trauma in a Pediatric Case
Çocuk Acil ve Yoğun Bakım Dergisi, cilt.10, 2023 (ESCI, Scopus, TRDizin)
- Yayın Türü: Makale / Vaka Takdimi
- Cilt numarası: 10
- Basım Tarihi: 2023
- Doi Numarası: 10.4274/cayd.galenos.2022.22448
- Dergi Adı: Çocuk Acil ve Yoğun Bakım Dergisi
- Derginin Tarandığı İndeksler: Emerging Sources Citation Index (ESCI), Scopus, TR DİZİN (ULAKBİM)
- Anahtar Kelimeler: Bladder perforation, pelvic fracture, laparoscopy
- Açık Arşiv Koleksiyonu: AVESİS Açık Erişim Koleksiyonu
- Dokuz Eylül Üniversitesi Adresli: Evet
Özet
Intraperitoneal bladder perforation is a vital condition that is
characterized by perforation of the bladder into the intra-abdominal
area. It can lead to severe peritonitis and a delayed diagnosis can
be life-threatening. Bladder perforations are occurred by highenergy blunt trauma that disrupts the bony pelvis, direct blow
to a distended bladder, penetrating traumas, urogynecological
interventions, indwelling catheters and iatrogenic causes. A 9-yearold boy who was involved in a moderate velocity a motor vehicle
accident was referred to our hospital due to pelvic fracture. Primary
assessment of the patient suggested hemodynamic stability without
any signs of peritonitis and/or distention. With this case report,
we aimed to present the clues in the diagnosis of intraperitoneal
bladder perforation and our treatment strategy in cases where the
symptoms and signs are insufficient to show intraperitoneal bladder
perforation.