2019 Volume 33 Issue 3 Pages 343-346
We report a case of traumatic extraperitoneal rupture that required surgical treatment in the subacute phase. A 69-year-old woman was transported to our hospital following a traffic injury. Intraperitoneal bladder rupture, pelvic fracture, aortic injury, right hemothorax, and left tibiofibular fracture were observed, and emergency bladder repair surgery was performed. Retrograde cystography performed on hospital day 14 confirmed new extraperitoneal leakage of contrast medium. Abdominal CT performed on hospital day 27 revealed dehiscence of the bladder wall where it contacted the hematoma around the left pubis and ischium. Cystoscopy performed on hospital day 34 revealed a defect in the left anterior bladder wall. We determined the possibility of natural closure to be low and therefore performed bladder repair surgery. When extraperitoneal bladder injuries come in contact with hematomas, clinicians need to consider the possibility of communication with the bladder as the hematoma is absorbed.
