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Padilla-Fernandez B, Diaz-Alferez FJ, Garcia-Garcia MA, et al. Bladder neck rupture following perineal bull horn injury: a surgical challenge. Clin Med Insights Case Rep. 2012;5:123-8doi: 10.4137/CCRep.S10234.
Padilla-Fernandez, B., Diaz-Alferez, F. J., Garcia-Garcia, M. A., Herrero-Polo, M., Velasquez-Saldarriaga, J. F., & Lorenzo-Gomez, M. F. (2012). Bladder neck rupture following perineal bull horn injury: a surgical challenge. Clinical medicine insights. Case reports, 5123-8. https://doi.org/10.4137/CCRep.S10234
Padilla-Fernandez, B, et al. "Bladder neck rupture following perineal bull horn injury: a surgical challenge." Clinical medicine insights. Case reports vol. 5 (2012): 123-8. doi: https://doi.org/10.4137/CCRep.S10234
Padilla-Fernandez B, Diaz-Alferez FJ, Garcia-Garcia MA, Herrero-Polo M, Velasquez-Saldarriaga JF, Lorenzo-Gomez MF. Bladder neck rupture following perineal bull horn injury: a surgical challenge. Clin Med Insights Case Rep. 2012;5:123-8. doi: 10.4137/CCRep.S10234. Epub 2012 Sep 24. PMID: 23066348; PMCID: PMC3465085.
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Clin Med Insights Case Rep. 2012;5:123-8. doi: 10.4137/CCRep.S10234. Epub 2012 Sep 24.

Bladder neck rupture following perineal bull horn injury: a surgical challenge.

Clinical medicine insights. Case reports

B Padilla-Fernandez, F J Diaz-Alferez, M A Garcia-Garcia, M Herrero-Polo, J F Velasquez-Saldarriaga, M F Lorenzo-Gomez

Affiliations

  1. Department of Urology, University Hospital of Salamanca. University of Salamanca, Spain.

PMID: 23066348 PMCID: PMC3465085 DOI: 10.4137/CCRep.S10234

Abstract

Pelvic-abdominal injuries caused by goring are serious lesions which require rapid diagnosis and urgent treatment in the context of a polytraumatized patient. The simultaneous rupture of both the bladder and the prostatic-membranous urethra occurs in 10%-29% of males with pelvic fractures but bladder neck injuries in adults are rarer. Unstable pelvic fractures, bilateral fractures of the ischiopubic branches (also referred to as fractures from falling astride) and the diastasis of the pubic symphysis are those that have the greatest likelihood of injuring both the posterior urethra and the bladder. We present a case of perineal bull horn injury with muscle laceration, bone fractures, scrotal avulsion and rupture of the bladder neck involving the right ureter which required two operations to be repaired.

Keywords: bladder rupture; bull horn injury; reconstructive surgery; urethral disruption

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