- Bladder Trauma: Facts
- Usually not isolated injuries but associated with other injuries
- Mortality reported in up to 44% of patients but obviously relates to other injuries as well
- CT cystography is needed and has an accuracy approaching 100% for bladder injury
- 80% of injuries are extraperitoneal and most patients do well as the injury is often self limiting with conservative management
- 20% of injuries are intraperitoneal and require surgical repair to prevent urine peritonitis
- “ Multidetector computed tomography (MDCT) cystography is rapidly becoming the most recommended study for evaluation of the bladder for suspected trauma.”
Bladder trauma: multidetector computed tomography cystography
Ishak C, Kanth N
Emerg Radiol (2011) 18:321-327 - Bladder Trauma: Facts
- 10% of GU system injuries are to the bladder
- Bladder injures occur in 1.6% of blunt abdominal trauma cases
- Bladder rupture occurs in 2-11% of patients with pelvic fractures
- 60-90% of patients with bladder rupture have a pelvic fracture - Bladder Trauma: Etiology
- Blunt trauma (60-85%)
- Penetrating trauma (15-40%)
- Iatrogenic trauma (5%)
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