[Ascites and hematuria after falling in an alcoholic patient].
Isolated ruptures of the urinary bladder following minor traumas are a rare abdominal lesion. Diagnosis and treatment are a challenge to emergency physicians and surgeons. This case shows a 46-year-old patient admitted for a minor brain injury after falling during an episode of alcoholic intoxication. Ultrasound and CT scan of the abdomen showed intraabdominal fluid without a parenchymatous lesion. Also a hematuria was significant. The retrograde cystography showed intraabdominal contrast agent. The rupture of the urinary bladder was confirmed by laparoscopy and was intracorporal sutured in double layer technique. Without any postoperative complications the patient was discharged after 4 days. The retrograde cystography after 10 days showed no leckage and the urinary catheter could be removed.
Bürkner
A
A
Chirurgische Abteilung, Spital Limmattal, Urdorfenstrasse 100, 8952 Schlieren. Andreas.buerkner@spital-limmattal.ch
Neuhaus
V
V
Schöb
O
O
D000058:Accidental Falls; D000435:Alcoholic Intoxication / Q000150:complications*; D001201:Ascites / Q000209:etiology*; D002408:Catheters, Indwelling; D003128:Coma / Q000209:etiology*; D003937:Diagnosis, Differential; D005235:Fatty Liver, Alcoholic / Q000175:diagnosis; D005548:Foreign-Body Migration / Q000175:diagnosis; D016489:Head Injuries, Closed / Q000150:complications*; D006417:Hematuria / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed; D001745:Urinary Bladder Diseases / Q000175:diagnosis*; D014567:Urography