[Spontaneous extraperitoneal bladder perforation in an elderly patient with genitalia prolapse].
There are many etiologic reasons which explain the bladder perforation. Bladder injuries happen most commonly in poli-traumatisms (traffic accident), blunt trauma, penetrating injury and iatrogenic injury (surgery, laparoscopic...). However, there is not always a vigorous, direct, extern and blunt agent causing the rupture. In the case reported the extraperitoneal bladder rupture started after a smooth perineal injury caused when the patient seated down. The patient already suffered from a cystocele III/IV plus uterine prolapse for a long time ago.
Pérez Romero
N
N
Servicio de Urología, Hospital Clínico Universitario San Carlos, Madrid. natape@hotmail.com
Gómiz León
J J
JJ
Alonso Prieto
M A
MA
Corral Rosillo
J
J
Galante Romo
I
I
Silmi Moyano
A
A
D000369:Aged, 80 and over; D005260:Female; D006801:Humans; D012422:Rupture, Spontaneous; D001745:Urinary Bladder Diseases / Q000209:etiology*; D014596:Uterine Prolapse / Q000150:complications*