Impalement Injury of the Urinary Bladder: A Case Report.
10.4111/kju.2012.53.6.435
- Author:
Jun MORITA
1
;
Michio NAOE
;
Takehiko NAKASATO
;
Yoshio OGAWA
Author Information
1. Department of Urology, Showa University School of Medicine, Tokyo, Japan. moritajun@hotmail.co.jp
- Publication Type:Case Report
- Keywords:
Bladder injuries;
Rupture;
Urinary bladder
- MeSH:
Adult;
Hematuria;
Humans;
Laparotomy;
Rupture;
Seminal Vesicles;
Steel;
Ureter;
Urinary Bladder;
Wounds, Penetrating
- From:Korean Journal of Urology
2012;53(6):435-437
- CountryRepublic of Korea
- Language:English
-
Abstract:
Impalement injury of the urinary bladder, especially secondary to rectal impalement, is extremely rare. In this case, a 31-year-old man sustained a steel pipe impalement injury through his perirectal region. He presented with gross hematuria, abdominal defense, and a penetrating wound. On the basis of the computed tomography findings and abdominal defense, we suspected a through-and-through bladder perforation from the rectal space to the intraperitoneum. Laparotomy revealed a through-and-through bladder perforation as well as damage to the right ureter, 3 distinct ileal injuries, and rectal anterior, anal, and right seminal vesicle injuries. Surgical repair of each damaged site was undertaken. The prompt diagnosis and surgical repair ensured good postoperative recovery.
