1998Journal of Orthopaedic TraumaRequires access

Bladder Incarceration in a Traumatic Symphysis Pubis Diastasis Treated with External Fixation: A Case Report and Review of the Literature

Craig S. Bartlett, Arif Ali, David L. Helfet

Open publisher page 21 citations

Abstract

Fractures of the pelvis constitute a small but significant proportion of skeletal injuries. However, they are associated with significant morbidity and mortality, including damage to the urogenital system, especially the urethra and urinary bladder. We report the rare finding of bladder herniation and entrapment after reduction of a traumatic symphyseal diastasis by external fixation and the diagnosis of these injuries with computed tomography. A comprehensive review of the literature is also performed, to improve understanding and provide guidelines for evaluation and treatment of pelvic injuries with suspected bladder involvement.

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What this paper is about

Fractures of the pelvis constitute a small but significant proportion of skeletal injuries. However, they are associated with significant morbidity and mortality, including damage to the urogenital system, especially the urethra and urinary bladder. We report the rare finding of bladder herniation and entrapment after reduction of a traumatic symphyseal diastasis by external fixation and the diagnosis of these injuries with computed tomography. A comprehensive review of the literature is also performed, to improve understanding and provide guidelines for evaluation and treatment of pelvic injuries with suspected bladder involvement.

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Available abstract

Fractures of the pelvis constitute a small but significant proportion of skeletal injuries. However, they are associated with significant morbidity and mortality, including damage to the urogenital system, especially the urethra and urinary bladder. We report the rare finding of bladder herniation and entrapment after reduction of a traumatic symphyseal diastasis by external fixation and the diagnosis of these injuries with computed tomography. A comprehensive review of the literature is also performed, to improve understanding and provide guidelines for evaluation and treatment of pelvic injuries with suspected bladder involvement.

Key concepts: Medicine, Diastasis, Symphysis, Pelvis, Pubic symphysis, Surgery, Urethra, External fixation

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Bladder Incarceration in a Traumatic Symphysis Pubis Diastasis Treated with External Fixation: A Case Report and Review of the Literature — Research Paper | ScholarLens