Extraperitoneally Ruptured, Everted, and Prolapsed Bladder: A Very Rare Complication of Pelvic Injury

dc.contributor.authorOjewola, R.W.
dc.contributor.authorTijani, K.H.
dc.contributor.authorBadmus, O.O.
dc.contributor.authorOliyide, A.E.
dc.contributor.authorOsegbe, C.E.
dc.date.accessioned2020-02-21T09:30:44Z
dc.date.available2020-02-21T09:30:44Z
dc.date.issued2015-08
dc.descriptionStaff publicationsen_US
dc.description.abstractTraumatic rupture of the bladder with eversion and protrusion via the perineum is a rare complication of pelvic injury. We present a 36-year-old lady who sustained severe pelvic injury with a bleeding right-sided deep perineal laceration. She had closed reduction of pelvic fracture with pelvic banding and primary closure of perineal laceration at a private hospital. She subsequently had dehiscence of repaired perineal laceration with protrusion of fleshy mass from vulva and leakage of urine per perineum five weeks later. Examination revealed a fleshy mucosa-like mass protruding anteriorly with a bridge of tissue between it and right anterolateral vaginal wall. Upward pressure on this mass revealed the bladder neck and ureteric orifices. She had perineal and pelvic exploration with findings of prolapsed, completely everted bladder wall through a transverse anterior bladder wall rent via the perineum, and an unstable B1 pelvic disruption. She had repair of the ruptured, everted, and prolapsed bladder, double-plate and screw fixation of disrupted pelvis and repair of the pelvic/perineal defect. She commenced physiotherapy and ambulation a week after surgery. Patient now walks normally and is continent of urine. We conclude that the intrinsic urethral continent mechanism plays a significant role in maintaining continence in females.en_US
dc.identifier.citationOjewola R.W., Tijani K.H., Badmus O.O., Oliyide A.E., Osegbe C.E. Extraperitoneally ruptured, everted and prolapsed bladder – A very rare complication of pelvic injury. Case Reports in Urology. Volume 2015, Article ID 476043, 4 pages.en_US
dc.identifier.issnhttp://dx.doi.org/10.1155/2015/476043.
dc.identifier.urihttps://ir.unilag.edu.ng/handle/123456789/7765
dc.language.isoenen_US
dc.publisherHindawien_US
dc.subjectEversion, extra-peritoneal, bladder rupture, pelvic fractureen_US
dc.subjectEversionen_US
dc.subjectExtra-peritonealen_US
dc.subjectBladder ruptureen_US
dc.subjectPelvic fractureen_US
dc.titleExtraperitoneally Ruptured, Everted, and Prolapsed Bladder: A Very Rare Complication of Pelvic Injuryen_US
dc.typeArticleen_US
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