From the Department of Urology, Shiraz University of Medical Sciences, Shiraz, I.R. Iran.
Abstract: (4675 Views)
We reviewed 55 cases with trauma to the urinary bladder. Blunt trauma was
the cause of injury in 78 percent of cases and associated pelvic fracture was present
in 75 percent. Eighty percent of extraperitoneal ruptures were associated with
fracture of the pelvis. The most common cause of trauma was car accident (63%),
followed by war injury (20%).
Nearly two-thirds of patients (63 %) had extraperitoneal rupture.
The most common presentation was gross hematuria (49%), followed by
abdominal pain and tenderness (38%). In 24 patients, diagnosis was made by
retrograde cystography, in 9 patients by intravenous pyelography and the remaining
patients were diagnosed by physical examination and diagnostic laparotomy.
All of the patients were treated by surgical repair. Mortality rate was
two percent.