title: [Traumatic bladder perforation in pelvic ring fracture. Case report with differential diagnostic aspects].
abstract: In the context to multiple traumata, a 19-year-old man suffered an extraperitoneal bladder rupture due to perforation by a fractured pubic ramus. Because of a rapid shock-induced decrease of hematuria and the misinterpretation of a bruise on the right flank as a renal contusion, the clinical diagnosis was not established. The patient died of head injuries and ruptures of the liver and diaphragm with hemothorax and intra-abdominal bleeding. The impressive bladder perforation was first documented at the postmortem examination. The diagnosis and differential diagnosis of hematuria are discussed.
mesh_terms: D000328:Adult; D003937:Diagnosis, Differential; D005597:Fractures, Open / Q000150:complications*; D006801:Humans; D008297:Male; D010384:Pelvic Bones / Q000293:injuries*; D012421:Rupture; D001743:Urinary Bladder / Q000293:injuries*
vernacular_title: Traumatische Harnblasenperforation bei Beckenringfraktur. Kasuistik mit differentialdiagnostischen Aspekten.