Bladder Ruptures Missed by Cystography in Pelvic Trauma
Author Information
Author(s): Berber O., Emeagi C., Perry M., Rickman M. S.
Primary Institution: St Georges Healthcare NHS Trust
Hypothesis
Conventional retrograde cystography may fail to detect bladder ruptures in patients with pelvic trauma.
Conclusion
The study highlights that conventional retrograde cystography can miss bladder injuries, leading to significant clinical implications.
Supporting Evidence
- Two patients with pelvic fractures had bladder ruptures detected during surgery despite normal preoperative cystograms.
- Conventional retrograde cystography is often considered the gold standard for bladder injury investigation.
- Clinical indicators such as haematuria and suprapubic tenderness should prompt further investigation.
Takeaway
Sometimes, doctors use a special X-ray to check for bladder injuries, but it can miss problems, which can be dangerous.
Methodology
Case report of two patients with pelvic fractures and bladder ruptures detected during surgery despite normal cystograms.
Potential Biases
Potential bias due to the retrospective nature of the case reports.
Limitations
The study is based on only two case reports, limiting generalizability.
Participant Demographics
One female aged 26 and one male aged 36.
Digital Object Identifier (DOI)
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