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Non-Operative Management of a Blunt Traumatic Intraperitoneal Bladder Rupture as Damage Control after a Severe Pelvic Fracture

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Title: Non-Operative Management of a Blunt Traumatic Intraperitoneal Bladder Rupture as Damage Control after a Severe Pelvic Fracture
Other Titles: 重症骨盤骨折に対するダメージコントロールとしての腹腔内膀胱破裂の非手術的治療
Authors: Hayakawa, Mineji1 Browse this author →KAKEN DB
Tuchiya, Kunihiko2 Browse this author
Hoshino, Hirokatsu3 Browse this author
Gando, Satoshi4 Browse this author →KAKEN DB
Authors(alt): 早川, 峰司1
土屋, 邦彦2
星野, 弘勝3
丸藤, 哲4
Keywords: blunt injury
intraperitoneal bladder rupture
pelvic fracture
non-operative management
damage control
Issue Date: Jan-2007
Publisher: 日本救急医学会
Journal Title: 日本救急医学会雑誌
Volume: 18
Issue: 1
Start Page: 23
End Page: 26
Abstract: There is a consensus that blunt traumatic intraperitoneal bladder rupture should undergo water-tight suturing and be decompressed by a transurethral catheter. This is the first report of the non-operative management of blunt traumatic intraperitoneal bladder rupture with a severe pelvic fracture. A 32-year-old male was run over by a power shovel, and brought to our emergency department. Upon arrival, he was in severe shock because of massive bleeding from a severe pelvic fracture. Transcatheter arterial embolization and an external fixation for the pelvic fracture was performed. Retrograde cystography showed an intraperitoneal bladder rupture. On the day of admission, the non-operative management of the intraperitoneal bladder rupture was performed to prevent additional bleeding. We could continue the conservative management on the day after admission because urine could be constantly drained. At one week after admission, the bladder rupture healed. The non-operative management for an intraperitoneal bladder rupture with a severe pelvic fracture is an important treatment modality in order to carry out damage control after a severe pelvic fracture. Such non-operative management can be continued when a celiotomy is not needed for other abdominal organ injuries, no intravesical bone spicule is detected, and urine can be constantly drained.
Type: article (author version)
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

Submitter: 早川 峰司

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