Türk Medline
ADR Yönetimi
ADR Yönetimi

THE MANAGEMENT OF BLADDER PERFORATION CONCURRENTLY RECTAL INJURY WITHOUT COLOSTOMY IN A PATIENT WITH EPILEPSY

BURAK KÖPRÜ

Koru Proceedings - 2020;8(1):19-21

Dept. of Urology, Koru Ankara Hospital, Ankara/Turkey

 

Bladder rupture and rectal injury concurrently due to rectal impalament are extremely rare. A 21-year -old man admitted our hospital with rectal injury via toilet brush. He had epilepsy and presented fluid coming from the anus. Opaque material extravasation were observed to be spread throughout the abdomen by cystography. Bladder perforation area was observed with cystoscopy and inserted bilateral D-J catheter. When laparotomy was conducted, bladder perforation area and small cecum laseration were seen. The area of bladder base and the posterior wall were repaired. Rectum was sutured with rectoscope. Because he area of rectal perforation was clean, colostomy was not performed during the rectum and bladder repairing. Postoperative recovery was good.