Non-operative management of extra-peritoneal rupture of the urinary bladder in a tetraplegic patient.
A 65-year-old male sustained a cervical spine injury and simultaneous extraperitoneal rupture of the urinary bladder. Because of co-existent severely impaired respiratory function the vesical rupture was managed conservatively and bladder drainage was provided by a 24 Fr. indwelling urethral catheter. Serial cystograms performed at 4, 7 and 9 weeks post-injury showed complete healing by 63 days. We suggest that non-operative management of vesical rupture should be considered in selected patients with associated serious other body system involvement.
D000368:Aged; D002408:Catheters, Indwelling; D004322:Drainage; D006801:Humans; D008297:Male; D011782:Quadriplegia / Q000150:complications* / Q000209:etiology; D011859:Radiography; D012421:Rupture; D013124:Spinal Injuries / Q000150:complications / Q000628:therapy; D014143:Traction; D001743:Urinary Bladder / Q000000981:diagnostic imaging / Q000293:injuries*