Non-Operative Management of Intraperitoneal Bladder Rupture Due to Blunt Abdominal Trauma

Nowadays, surgical treatment is the gold standard to manage traumatic intraperitoneal urinary bladder rupture; there is an increasing trend of conservative management in cases of urinary tract trauma.

A 72-year-old male with high energy trauma due to car accident had blunt traumatic intraperitoneal urinary bladder rupture with pelvic fracture. He was successfullymanaged non-operatively by catheter drainage of the bladder and external fixation of the pelvic fracture while he was hemodynamically stable and there was no other organ injury.

Non-operative management for a blunt traumatic intraperitoneal bladder rupture with pelvic fracture is an important treatment modality if a laparotomy is not needed for any other abdominal organ injuries, and urine can be constantly drained through a catheter; and a close surveillance can be performed for generalized peritoneal signs and uroascites.