From the Department of Urology, Shiraz University of Medical Sciences, Shiraz, Islamic Republic of Iran.
Abstract: (4538 Views)
41 patients with trauma to the urinary bladder are reviewed. 70 percent
were injured as a result of blunt trauma and 63 percent of patients had an
associated fracture of the pelvis. 82 percent of extra peritoneal ruptures were
associated with fracture of the pelvis. The most common cause of trauma was
car accident (56 percent), followed bywar injury (25 percent). The incidence
of intra and extra peritoneal rupture was nearly equal. The most common
presentation was abdominal pain and tenderness (48 percent), followed by
gross hematuria (37 percent). In 16 patients diagnosis was made by
retrograde cystography and in another six by intravenous pyelography. 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.