An uncommon case of intraperitoneal urinary bladder rupture in an adult with pelvic bone fracture

Injury of urinary bladder can occur due to blunt, penetrating, or iatrogenic trauma. The susceptibility of the bladder to injury and rupture varies with its degree of filling at the time of the trauma; a collapsed or nearly empty bladder is much less prone to injury than is a distended bladder. Bladder injuries account for 1.5% of patients with blunt trauma abdomen. The most common cause is road-traffic accidents (90%). Bladder injuries are usually suspected when there is an associated pelvic bone fracture. Extra peritoneal ruptures are more common than intraperitoneal ruptures. Operative management is the usual modality of treatment for intraperitoneal bladder rupture while the extraperitoneal injuries can be managed conservatively.