The bladder is well protected deep within the bony pelvis.
Bladder injury is caused by trauma, iatrogenic surgical complication, or spontaneous rupture.
The mechanism of traumatic in...
Determine mechanism of injury: trauma (blunt or penetrating), surgery, or spontaneous.
Gross hematuria and pelvic fracture (1),(3)[B]
Urinary retention (1),(4)[C]
Inability to void or ol...
Place a catheter to drain the bladder.
Short course of prophylactic antibiotics
Obtain appropriate labs and imaging studies.
See “Surgery/Other Procedures” for deta...
S37.20XA Unspecified injury of bladder, initial encounter
S37.29XA Other injury of bladder, initial encounter
S37.22XA Contusion of bladder, initial encounter
S37.23XA Laceration of bladder, i...
Bladder injuries are usually associated with blunt trauma and pelvic fracture.
Gross hematuria is the most common presenting sign.
A cystogram needs to be performed when a bladder injury...
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FIGURE 28.20. Hematuria. This field shows a large number of red blood cells (RBCs) accompanied by one polymorphonuclear neutrophil in the sediment. Note that the RBCs appear to be regularly shaped, biconcave disks. (Bright-field microscopy, 3160.)
FIGURE 28.20. Hematuria. This field shows a large number of red blood cells (RBCs) accompanied by one polymorphonuclear neutrophil in the ...