Impalement Injury of the Urinary Bladder: A Case Report
Morita Jun, Naoe Michio, Nakasato Takehiko, Ogawa Yoshio,
소속 상세정보
( Morita Jun )
Showa University School of Medicine Department of Urology
( Naoe Michio )
Showa University School of Medicine Department of Urology
( Nakasato Takehiko )
Showa University School of Medicine Department of Urology
( Ogawa Yoshio )
Showa University School of Medicine Department of Urology
KMID : 0358320120530060435
Abstract
Impalement injury of the urinary bladder, especially secondary to rectal impalement, is extremely rare. In this case, a 31-year-old man sustained a steel pipe impalement injury through his perirectal region. He presented with gross hematuria, abdominal defense, and a penetrating wound. On the basis of the computed tomography findings and abdominal defense, we suspected a through-and-through bladder perforation from the rectal space to the intraperitoneum. Laparotomy revealed a through-and-through bladder perforation as well as damage to the right ureter, 3 distinct ileal injuries, and rectal anterior, anal, and right seminal vesicle injuries. Surgical repair of each damaged site was undertaken. The prompt diagnosis and surgical repair ensured good postoperative recovery.
키워드
Bladder injuries; Rupture; Urinary bladder
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