Bladder Rupture

Excerpt

Bladder rupture, a relatively rare condition, is most commonly due to abdominal or pelvic trauma but may be spontaneous or iatrogenic in association with surgical or endoscopic procedures. In adults, the bladder is well protected within the bony pelvis. As such, the vast majority of bladder injuries occur in association with pelvic fractures, particularly those involving the pubic rami. Pelvic pain and gross hematuria are present in most patients. Diagnosis is confirmed with retrograde cystography, either with computed tomography (CT) or plain films. Bladder rupture may occur in the peritoneal space but are more commonly extraperitoneal. Uncomplicated extraperitoneal ruptures are frequently managed non-operatively with a Foley catheter, while intraperitoneal ruptures require surgical repair.