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The incidence, management, and outcome of penetrating bladder injuries in civilians resultant from armed conflict in Baghdad 2005-2006.

Petros FG, Santucci RA, Al-Saigh NK - Adv Urol (2009)

Bottom Line: Conclusions.Morbidities from missed injuries were severe hematuria and vesicorectal fistula.However, (3%) of vesicorectal fistulae healed spontaneously with prolonged bladder drainage.

View Article: PubMed Central - PubMed

Affiliation: Al-Yarmouk Teaching Hospital, The College of Medicine, The University of Mustanisriya, Baghdad, Iraq. fgh damman@yahoo.com

ABSTRACT
The purpose of this paper is to review the diagnosis, treatment, and outcomes of penetrating bladder injuries suffered by civilians in the Iraqi war zone. Materials and Methods. All civilian trauma cases received alive at Al-Yarmouk Teaching Hospital from January 2005 to August 2006 were reviewed for the presence of bladder injury. Results. 533 cases of penetrating abdominal trauma were identified, of which 177 (33%) involved the genitourinary (GU) system and 64 (12%) involved the bladder. Most (70%) were young males, and most (55%) had grade IV injuries. Associated injuries occurred in 63/64 (98%) of patients. 3 patients had missed bladder injuries, and all of these had complications related to their missed injury. Bladder-related complications occurred in 11% of cases, and mortality in 13%, all due to extravesical injuries. Conclusions. Penetrating bladder injury among civilians in Baghdad war zone resulted in 64 cases in 18 months. The initial detection rate is very high (98%), and after primary repair, lasting complications are rare. Morbidities from missed injuries were severe hematuria and vesicorectal fistula. However, (3%) of vesicorectal fistulae healed spontaneously with prolonged bladder drainage. Associated injuries are the rule in penetrating bladder injury patients, and must be diligently investigated and treated.

No MeSH data available.


Related in: MedlinePlus

Concomitant injuries in 64 penetrating bladder injury patients.
© Copyright Policy - open-access
Related In: Results  -  Collection


getmorefigures.php?uid=PMC2666147&req=5

fig4: Concomitant injuries in 64 penetrating bladder injury patients.

Mentions: All penetrating bladder injurieswere due to bullets from pistols, rifles, and/or machine guns (78%), or shellsfrom explosive devices (22%). No knife wounds were seen. 55% of the injurieswere grade IV or higher (Figure 2) with equal involvement of the dome (38%) andlateral wall (36%) (Figure 3). Concomitant injuries occurred in all but 1 ofthe injured bladder patients (Figure 4).


The incidence, management, and outcome of penetrating bladder injuries in civilians resultant from armed conflict in Baghdad 2005-2006.

Petros FG, Santucci RA, Al-Saigh NK - Adv Urol (2009)

Concomitant injuries in 64 penetrating bladder injury patients.
© Copyright Policy - open-access
Related In: Results  -  Collection

Show All Figures
getmorefigures.php?uid=PMC2666147&req=5

fig4: Concomitant injuries in 64 penetrating bladder injury patients.
Mentions: All penetrating bladder injurieswere due to bullets from pistols, rifles, and/or machine guns (78%), or shellsfrom explosive devices (22%). No knife wounds were seen. 55% of the injurieswere grade IV or higher (Figure 2) with equal involvement of the dome (38%) andlateral wall (36%) (Figure 3). Concomitant injuries occurred in all but 1 ofthe injured bladder patients (Figure 4).

Bottom Line: Conclusions.Morbidities from missed injuries were severe hematuria and vesicorectal fistula.However, (3%) of vesicorectal fistulae healed spontaneously with prolonged bladder drainage.

View Article: PubMed Central - PubMed

Affiliation: Al-Yarmouk Teaching Hospital, The College of Medicine, The University of Mustanisriya, Baghdad, Iraq. fgh damman@yahoo.com

ABSTRACT
The purpose of this paper is to review the diagnosis, treatment, and outcomes of penetrating bladder injuries suffered by civilians in the Iraqi war zone. Materials and Methods. All civilian trauma cases received alive at Al-Yarmouk Teaching Hospital from January 2005 to August 2006 were reviewed for the presence of bladder injury. Results. 533 cases of penetrating abdominal trauma were identified, of which 177 (33%) involved the genitourinary (GU) system and 64 (12%) involved the bladder. Most (70%) were young males, and most (55%) had grade IV injuries. Associated injuries occurred in 63/64 (98%) of patients. 3 patients had missed bladder injuries, and all of these had complications related to their missed injury. Bladder-related complications occurred in 11% of cases, and mortality in 13%, all due to extravesical injuries. Conclusions. Penetrating bladder injury among civilians in Baghdad war zone resulted in 64 cases in 18 months. The initial detection rate is very high (98%), and after primary repair, lasting complications are rare. Morbidities from missed injuries were severe hematuria and vesicorectal fistula. However, (3%) of vesicorectal fistulae healed spontaneously with prolonged bladder drainage. Associated injuries are the rule in penetrating bladder injury patients, and must be diligently investigated and treated.

No MeSH data available.


Related in: MedlinePlus