Combined intra - and extraperitoneal urinary bladder rupture
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While isolated traumatic urinary bladder injuries are rare, combined intra and extraperitoneal traumatic urinary bladder ruptures without an underlying fracture are an absolute rarity.We report a case of combined intra and extraperitoneal urinary bladder rupture without an underlying fracture resulting from blunt abdominal trauma during a high-velocity car accident. A midline laparotomy was performed, and the intra and extraperitoneal bladder ruptures were surgically treated. Based on the presented case the anatomical peculiarities of the urinary bladder and the different trauma mechanisms, as well as the resulting lesions, the diagnostic modalities and the treatment options, are discussed...

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