We treated 35 patients with bladder rupture during five and a half year. Traffic accident was. The most common cause of bladder rupture. Extraperitoneal rupture was noted in 13 patients (37.2%), intraperitoneal rupture in 20 (57.1% ), and combined intraperitoneal and extraperitoneal rupture in 2 (5.7%).
Associated organ injuries were common. The number of associated injury averaged 0.5 per patient with intraperitoneal rupture, 2.3 per patient with extraperitoneal rupture, and 3.0 per patient with both types of rupture. There were 15 bladder ruptures in associated with 139 pelvic fractures (10.8%).
All patients with intraperitoneal ruptures, 10 with extraperitoneal ruptures, and 2 combined ruptures were treated successfully by exploration, debridement, formal closure and catheter drainage. Of the patients with extraperitoneal ruptures, three were treated by catheter drainage alone. Two of these patients were performed delayed exploration because of the severe intravesical hemorrage and difficulty in drainage of blood clots.
We need carefull observation in case of extraperitoneal bladder rupture with catheter drainage alone.
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