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  • Vesica Injury m4 3.4

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    tia_wawan
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    1. Vesica injury represents 2% of urinary system trauma and is most commonly caused by pelvic bone fractures from accidents or tumors in the bladder. 2. Clinical manifestations include suprapubic pain, hematuria, inability to urinate, and signs of peritonitis or sepsis depending on whether the injury is intraperitoneal or extraperitoneal. 3. Diagnosis involves history, physical exam, and cystogram to detect extravasation of contrast within the perivesical space or abdomen. Treatment depends on the classification and severity but may include catheterization, surgical exploration, or sewing of tears.

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    1. Vesica injury represents 2% of urinary system trauma and is most commonly caused by pelvic bone fractures from accidents or tumors in the bladder. 2. Clinical manifestations include suprapubic pain, hematuria, inability to urinate, and signs of peritonitis or sepsis depending on whether the injury is intraperitoneal or extraperitoneal. 3. Diagnosis involves history, physical exam, and cystogram to detect extravasation of contrast within the perivesical space or abdomen. Treatment depends on the classification and severity but may include catheterization, surgical exploration, or sewing of tears.

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    Download as PPTX, PDF, TXT or read online from Scribd
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    6 views4 pages

    Vesica Injury m4 3.4

    Uploaded by

    tia_wawan
    1. Vesica injury represents 2% of urinary system trauma and is most commonly caused by pelvic bone fractures from accidents or tumors in the bladder. 2. Clinical manifestations include suprapubic pain, hematuria, inability to urinate, and signs of peritonitis or sepsis depending on whether the injury is intraperitoneal or extraperitoneal. 3. Diagnosis involves history, physical exam, and cystogram to detect extravasation of contrast within the perivesical space or abdomen. Treatment depends on the classification and severity but may include catheterization, surgical exploration, or sewing of tears.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 4

    VESICA INJURY

    Represents 2 % of the entire urinary system trauma


    etiology
    1 . 90 % are caused by pelvic bone fractures
    2 . Clash of the lower abdomen , especially when a
    full bladder cause tearing of the fundus
    3 . Endourology ( iatrogenic )
    4 . Spontaneous : usually there are abnormalities in
    the bladder such as tuberculosis , bladder tumors
    CLINICAL MANIFESTATION
    a. intraperitoneal
    suprapubic pain
    Haematuria
    Can not micturition
    Signs of peritonitis

    b . extraperitoneal
    Signs of pelvic fractures
    Hematoma perivesika
    Signs of sepsis
    hematoma perivesika
    CLASSIFICATION
    1 . Intraperitoneal injury ( 25-45 % ) : ektravasation
    cause urine to the abdominal cavity
    2 . Extraperitoneal injuries ( 45-60 % ) : cause
    extravasation of urine into the cavity perivesika

    DIAGNOSIS

    c . The history and clinical manifestation
    d . physical examination
    e . Sistogram : an extravasation of contrast
    Intraperitoneal : ektravasasi on the sidelines
    of the intestine
    Extraperitoneal : extravasation in perivesikel

    THERAPY
    a. Contusions : catheter 7-10 days
    b . Intraperitoneal : exploration
    c . Extraperitoneal : Sewing
    COMPLICATION
    a. Infection and pelvic abscess in the
    extraperitoneal
    b . Peritonitis in intraperitoneal
    c . Frequency and urgency sometimes occur
    during the 2 months

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