Beware of the 'Ascites' Patient: Delayed Presentation of Traumatic Intraperitoneal Bladder Rupture

Urology Case Reports
Anthony DatUri Hanegbi

Abstract

Delayed diagnosis of an intraperitoneal bladder rupture is rare in the post CT era. We present a case of a middle aged male with a delayed presentation of a traumatic intraperitoneal bladder rupture. He initially presented with an acute distended abdomen and acute kidney injury after an alleged assault. He was initially admitted for investigation of his 'ascites.' This case to our knowledge is the longest delay to diagnosis (>2 weeks) for an intraperitoneal bladder rupture in the post computed tomography era and should serve as a learning point in the workup of the patient with suspected blunt bladder injury.

References

Jan 1, 1986·Pediatric Radiology·D BrownT L Black
Feb 25, 2005·AJR. American Journal of Roentgenology·Martin LaufikClaude Sirlin
Aug 2, 2006·Internal Medicine·Akihiko KatoAkira Hishida
Dec 22, 2012·Case Reports in Urology·Hazim H AlhamzawiRifat Latifi

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Citations

Aug 27, 2018·Forensic Science, Medicine, and Pathology·Thu Nguyen, Joseph A Prahlow
Feb 19, 2020·Molecular Genetics & Genomic Medicine·Abolfazl Zendehdel, Maryam Roham

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