Management of the Ruptured Bladder Secondary to Blunt Abdominal Trauma

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Abstract
During a 4 yr 9 mo. interval 51 patients were seen with ruptured bladders. Of these patients 42 had suffered blunt trauma: 19 intraperitoneal, 22 extraperitoneal and 1 combined intraperitoneal and extraperitoneal injury. All patients with intraperitoneal injuries, 5 with extraperitoneal injuries and the 1 with combined injury were treated successfully by exploration, debridement, formal closure and catheter drainage. Of the patients with extraperitoneal injuries 16 were treated successfully by catheter drainage alone.