Myers JB1, Hotaling JM1, Brant WO1, Enniss TM2.

Urol Case Rep. 2015 Jan 5;3(2):32-4. doi: 10.1016/j.eucr.2014.12.003. eCollection 2015.

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Abstract

A 62-year-old male was admitted after being struck by a bus. He sustained a severe pelvic fracture, sigmoid colon injury, and both intraperitoneal and extraperitoneal bladder injury. He underwent initial successful bladder repair. However, at 7 days post-operatively he manifested a leak from the repair and urine was evident coming from the pins of his pelvic external fixator. A repeat cystogram showed massive extravasation, which was managed by operative ligation of the lower ureters and placement of percutaneous nephrostomy tubes. He underwent ureteral reconstruction and colostomy reversal at 9 months. He has both bladder and bowel control.

KEYWORDS:

Bladder; Extravasation; Lower urinary tract; Pelvic fracture; Trauma; Urinary