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Bladder injuries frequently missed in polytrauma patients

Authors Karim T, Topno M, Sharma V, Picardo R, Hastir A

Published 14 May 2010 Volume 2010:2 Pages 63—65


Review by Single anonymous peer review

Peer reviewer comments 2

Tanweer Karim, Margaret Topno, Vinod Sharma, Raymond Picardo, Ankur Hastir

Surgery, MGM Medical College, Kamothe, Navi Mumbai, India

Abstract: Bladder injuries are very common in patients who have had road traffic accidents. The method of diagnosis and management of such injuries is well established and accepted. However, trauma to the bladder can be associated with other life-threatening injuries which are frequently missed, and often diagnosed during laparotomy for other reasons. The aim of this study was to diagnose bladder injury in polytrauma patients as early as possible, taking into consideration the fact that these patients are hemodynamically unstable and require rapid evaluation and management. In order to achieve our objective, we used bedside sonography with retrograde instillation of normal saline to diagnose bladder injury in addition to use of the conventional retrograde cystogram.

Keywords: bladder injury, bladder rupture, retrograde cystogram

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