Postoperative extraperitoneal bladder injury after metal pelvic osteosynthesis for pelvic injury
Bladder injury is one of the recognized entities of the genitourinary organ system trauma. The causes are numerous, including road traffic crashes, falls from heights, gunshot injuries, and iatrogenic causes, among others. In some cases, the diagnosis may be difficult to make or missed, r...
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Academia.edu Journals
2024-10-01
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| author | Khalid Abdullahi Obadele Olusegun George Ajiboye Lukman Olalekan Abubakar Isiyaku Muhammad Abubakar Sadiq Aljannare Bashir Garba Okezie Chukwuebuka Kingsley Agwu Ngwobia Peter |
| author_facet | Khalid Abdullahi Obadele Olusegun George Ajiboye Lukman Olalekan Abubakar Isiyaku Muhammad Abubakar Sadiq Aljannare Bashir Garba Okezie Chukwuebuka Kingsley Agwu Ngwobia Peter |
| author_sort | Khalid Abdullahi |
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Bladder injury is one of the recognized entities of the genitourinary organ system trauma. The causes are numerous, including road traffic crashes, falls from heights, gunshot injuries, and iatrogenic causes, among others. In some cases, the diagnosis may be difficult to make or missed, resulting in severe morbidity. Postoperative implant-associated bladder injury is a rare and unfamiliar etiology in our setting. This article discusses the case of a 60-year-old farmer who sustained polytrauma in a road traffic crash, including pelvic fracture and urethral distraction injury, among others. He had a pelvic implant during the initial surgical intervention as part of resuscitation or damage control surgery. However, urine started to leak from his suprapubic wound a few days after operation. This condition was persistent despite continuous bladder drainage with an indwelling urethral catheter. He subsequently had bladder re-exploration, which confirmed an anterior bladder wall perforation secondary to the dislodged pelvic implant. Bladder injury due to pelvic implant is rare, but possible. Bladder exploration is warranted and rewarding in patients with suspicion of persistent vesicocutaneous fistula following pelvic implant surgery. |
| format | Article |
| id | doaj-art-c881c94dc4c24895b993970b1aea1d20 |
| institution | Kabale University |
| issn | 2994-435X |
| language | English |
| publishDate | 2024-10-01 |
| publisher | Academia.edu Journals |
| record_format | Article |
| series | Academia Medicine |
| spelling | doaj-art-c881c94dc4c24895b993970b1aea1d202025-02-10T22:26:22ZengAcademia.edu JournalsAcademia Medicine2994-435X2024-10-011410.20935/AcadMed7389Postoperative extraperitoneal bladder injury after metal pelvic osteosynthesis for pelvic injuryKhalid Abdullahi0Obadele Olusegun George1Ajiboye Lukman Olalekan2Abubakar Isiyaku3Muhammad Abubakar Sadiq4Aljannare Bashir Garba5Okezie Chukwuebuka Kingsley6Agwu Ngwobia Peter7Department of Surgery, Tetfund Centre of Excellence in Urology and Nephrology, Institute of Urology and Nephrology, Usmanu Danfodiyo University and Teaching Hospital, Sokoto 840103, Nigeria.Department of Surgery, Tetfund Centre of Excellence in Urology and Nephrology, Institute of Urology and Nephrology, Usmanu Danfodiyo University and Teaching Hospital, Sokoto 840103, Nigeria.Department of Orthopaedics and Trauma, Usmanu Danfodiyo University Teaching Hospital, Sokoto 840103, Nigeria.Department of Surgery, Tetfund Centre of Excellence in Urology and Nephrology, Institute of Urology and Nephrology, Usmanu Danfodiyo University and Teaching Hospital, Sokoto 840103, Nigeria.Department of Surgery, Tetfund Centre of Excellence in Urology and Nephrology, Institute of Urology and Nephrology, Usmanu Danfodiyo University and Teaching Hospital, Sokoto 840103, Nigeria.Department of Anaesthesia, Usmanu Danfodiyo University Teaching Hospital, Sokoto 840103, Nigeria.Department of Orthopaedics and Trauma, Usmanu Danfodiyo University Teaching Hospital, Sokoto 840103, Nigeria.Department of Surgery, Tetfund Centre of Excellence in Urology and Nephrology, Institute of Urology and Nephrology, Usmanu Danfodiyo University and Teaching Hospital, Sokoto 840103, Nigeria. Bladder injury is one of the recognized entities of the genitourinary organ system trauma. The causes are numerous, including road traffic crashes, falls from heights, gunshot injuries, and iatrogenic causes, among others. In some cases, the diagnosis may be difficult to make or missed, resulting in severe morbidity. Postoperative implant-associated bladder injury is a rare and unfamiliar etiology in our setting. This article discusses the case of a 60-year-old farmer who sustained polytrauma in a road traffic crash, including pelvic fracture and urethral distraction injury, among others. He had a pelvic implant during the initial surgical intervention as part of resuscitation or damage control surgery. However, urine started to leak from his suprapubic wound a few days after operation. This condition was persistent despite continuous bladder drainage with an indwelling urethral catheter. He subsequently had bladder re-exploration, which confirmed an anterior bladder wall perforation secondary to the dislodged pelvic implant. Bladder injury due to pelvic implant is rare, but possible. Bladder exploration is warranted and rewarding in patients with suspicion of persistent vesicocutaneous fistula following pelvic implant surgery.https://www.academia.edu/125101504/Postoperative_extraperitoneal_bladder_injury_after_metal_pelvic_osteosynthesis_for_pelvic_injury |
| spellingShingle | Khalid Abdullahi Obadele Olusegun George Ajiboye Lukman Olalekan Abubakar Isiyaku Muhammad Abubakar Sadiq Aljannare Bashir Garba Okezie Chukwuebuka Kingsley Agwu Ngwobia Peter Postoperative extraperitoneal bladder injury after metal pelvic osteosynthesis for pelvic injury Academia Medicine |
| title | Postoperative extraperitoneal bladder injury after metal pelvic osteosynthesis for pelvic injury |
| title_full | Postoperative extraperitoneal bladder injury after metal pelvic osteosynthesis for pelvic injury |
| title_fullStr | Postoperative extraperitoneal bladder injury after metal pelvic osteosynthesis for pelvic injury |
| title_full_unstemmed | Postoperative extraperitoneal bladder injury after metal pelvic osteosynthesis for pelvic injury |
| title_short | Postoperative extraperitoneal bladder injury after metal pelvic osteosynthesis for pelvic injury |
| title_sort | postoperative extraperitoneal bladder injury after metal pelvic osteosynthesis for pelvic injury |
| url | https://www.academia.edu/125101504/Postoperative_extraperitoneal_bladder_injury_after_metal_pelvic_osteosynthesis_for_pelvic_injury |
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