Combined intra- and extra-peritoneal bladder perforation following rectal impalement injury

Rachel Passarelli; Jason Elyaguov; Cristina Fox; Roberto Bergamaschi; Gerald Matthews

doi:10.1016/j.eucr.2020.101489

Combined intra- and extra-peritoneal bladder perforation following rectal impalement injury

Urol Case Rep. 2020 Nov 7:34:101489. doi: 10.1016/j.eucr.2020.101489. eCollection 2021 Jan.

Authors

Rachel Passarelli¹, Jason Elyaguov¹, Cristina Fox¹, Roberto Bergamaschi², Gerald Matthews¹

Affiliations

¹ Department of Urology, New York Medical College/Westchester Medical Center, 100 Woods Rd, Valhalla, NY, 10595, USA.
² Department of Surgery, New York Medical College/Westchester Medical Center, 100 Woods Rd, Valhalla, NY, 10595, USA.

Abstract

A 62-year-old male presented with abdominal pain and hematuria following impalement of the rectum with a wooden foreign object. CT imaging showed air and fluid in the peritoneum prompting the patient to undergo abdominal exploration. An anterior rectal perforation was discovered along with dual bladder lacerations of the posterior wall and dome. The patient underwent a diverting colostomy and primary bladder repair. Post-operative course was uncomplicated and bladder repair was followed via cystograms with catheter removal 2 months post-operatively. Four months after the injury the patient underwent colostomy closure and remains with normal bladder and bowel function at 21-month follow-up.

Keywords: Bladder perforation; Bladder repair; Impalement injury; Traumatic bladder injury.

Publication types

Case Reports