title: Management of a Case of Severe Pelvic Fracture Related Bladder Trauma.
abstract: A 62-year-old male was admitted after being struck by a bus. He sustained a severe pelvic fracture, sigmoid colon injury, and both intraperitoneal and extraperitoneal bladder injury. He underwent initial successful bladder repair. However, at 7 days post-operatively he manifested a leak from the repair and urine was evident coming from the pins of his pelvic external fixator. A repeat cystogram showed massive extravasation, which was managed by operative ligation of the lower ureters and placement of percutaneous nephrostomy tubes. He underwent ureteral reconstruction and colostomy reversal at 9 months. He has both bladder and bowel control.
authors.affiliation: University of Utah, Department of Surgery, Division of Urology, Salt Lake City, UT, USA.
authors.forename: Jeremy B
authors.initials: JB
authors.lastname: Myers
authors.affiliation: University of Utah, Department of Surgery, Division of Urology, Salt Lake City, UT, USA.
authors.forename: James M
authors.initials: JM
authors.lastname: Hotaling
authors.affiliation: University of Utah, Department of Surgery, Division of Urology, Salt Lake City, UT, USA.
authors.forename: William O
authors.initials: WO
authors.lastname: Brant
authors.affiliation: University of Utah, Section of Trauma, Burn and Critical Care, Salt Lake City, UT, USA.
authors.forename: Toby M
authors.initials: TM
authors.lastname: Enniss
keywords: Bladder; Extravasation; Lower urinary tract; Pelvic fracture; Trauma; Urinary