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Non-Operative Management of a Blunt Traumatic Intraperitoneal Bladder Rupture as Damage Control after a Severe Pelvic Fracture
| 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 | | 鈍的外傷 | | 腹腔内膀胱破裂 | | 骨盤骨折 | | 非手術的療法 | | ダメージコントロール |
| 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) |
| URI: | http://hdl.handle.net/2115/44849 |
| 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)
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Submitter: 早川 峰司
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