BLADDER RUPTURE
BLADDER RUPTURE
BLADDER RUPTURE
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Vesna Ivancic<br />
Gillian Lieberman, MD<br />
IPBR vs EPBR<br />
INTRAPERITONEAL EXTRAPERITONEAL<br />
PROPORTION 10-20% 80-90%<br />
MOST HAVE PELVIC FX<br />
CAUSATIVE Blunt (seat belt)<br />
Shearing<br />
FORCES To Lower abdomen To bladder base<br />
Full Bladder Or Injury via bone fragments<br />
URINE = NONCOMPRESSIBLE FLUID!<br />
DISTENDED <strong>BLADDER</strong> = THIN WALL!<br />
EXTENSION Ruptures at dome<br />
Extends into peritoneal<br />
cavity<br />
MANAGEMENT Surgical Conservative<br />
Extends into prevesical soft<br />
tissues, perineum, scrotum,<br />
thigh, anterior abdominal<br />
wall, retrorectal/presacral sp.<br />
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