2012 Volume 26 Issue 4 Pages 421-425
We report a rare pediatric case that was considered to be indicated for surgical treatment for extraperitoneal bladder injury accompanied by disruption of the abdominal wall musculature by a bicycle handlebar. A 13-year-old boy fell while riding a bicycle and was hit in the lower abdomen by the bicycle's handlebar. Abdominal CT revealed extraperitoneal bladder wall laceration, disruption of abdominal wall musculature, and subcutaneous fluid collection from around the bladder. Conservative treatment with urethral catheterization was chosen. Abdominal distention gradually reduced, and disruption of the abdominal wall musculature became palpable. Because surgical treatment was indicated for the abdominal wall injury and the bladder wall laceration did not change in size, both the abdominal wall and bladder injuries were repaired on hospital day 4. Although conservative treatment is the treatment of choice for extraperitoneal bladder injury, surgical intervention was appropriate in this case.
