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Bladder Problems in Pelvic Injuries Treated with External Fixator and Direct Urethral Drainage

 

作者: A. CASS,   F. BEHRENS,   T. COMFORT,   J. MATSUURA,  

 

期刊: The Journal of Trauma: Injury, Infection, and Critical Care  (OVID Available online 1983)
卷期: Volume 23, issue 1  

页码: 50-53

 

ISSN:0022-5282

 

年代: 1983

 

出版商: OVID

 

数据来源: OVID

 

摘要:

In the treatment of unstable pelvic fractures, external fixators provide the advantages of substantial pain relief, easier nursing care, early mobilization, decreased hospital stay, and direct access to open wounds. Urethral catheter drainage alone for ruptured bladders obviates the need for open surgical repair in a critically injured patient and reduces morbidity and pain. Three cases are reported with bladder complications arising from these recently advocated methods of management; two with external fixators and one with urethral catheter drainage. In one patient with an external fixator, stretching of the bladder over a bone fragment resulted in transient hematuria with activity. In a second patient, the protruding bladder wall was caught between opposing pubic rami. In an extraperitoneal bladder rupture with pubic rami fractures, urethral catheter drainage alone resulted in a pseudodiverticulum of the bladder with a bone fragment projecting through the hole in the bladder cavity. These cases illustrate some complications with these recently advocated methods of management of unstable pelvic fracture and ruptured bladder.

 

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