Posttraumatic hemorrhagic bladder rupture managed with transurethral foley catheter placement and bilateral transcatheter vesical artery embolization

Abstract

Background

Outcome of minimally invasive treatment of posttraumatic, hemorrhagic bladder rupture is unknown.

Methods

A 41-year-old male presented at the emergency department with pelvic and scrotal pain and macroscopic hematuria after a motor vehicle accident. Contrast-enhanced computed tomography revealed an open book fracture and an arterial phase contrast media extravasation posterior to the symphysis pubis and anterior to the urethra-vesical junction.

Results

The open book fracture was treated with an external fixation and the persistent bleeding was managed with insertion of a Foley catheter and bilateral embolization of the vesical arteries.

Conclusion

Minimally invasive treatment, including vesical artery embolization and placement of a Foley catheter can be effective in the treatment of posttraumatic, hemorrhagic bladder rupture.

Keywords:

• Trauma
• bladder
• hemorrhage
• embolization
• clinical outcome

Disclosure statement

The authors report no conflicts of interest