Ulus Travma Acil Cerrahi Derg. 2008; 14(2): 163-166

Hafif bir motosiklet kazasý sonrasý birlikte geliþen diyafragma ve mesane rüptürü (Olgu sunumu ve literatürün gözden geçirilmesi)

Stavros Gourgiotis¹, Stefanie Rothkegel², Stylianos Germanos^1
1401. Genel Asker Hastanesi, 2. Genel Cerrahi Kliniði, Atina, Yunanistan
²Justus-liebig Üniversitesi, Acil Cerrahi Bölümü, Giessen, Almanya

Diyaframla mesane rüptürleri künt abdominal travmadan sonra nadirdir ve genellikle yüksek enerjili travmalardan sonra geliþirler. Tek baþlarýna oluþmalarý enderdir. Diyafram rüptürünün kesin tanýsý, þüpheye ve göðüs radyografi filminin dikkatle incelenmesine dayanýrken, mesane rüptürü olan hastalardaki temel bulgu makroskopik hematüridir. Suprapubik aðrý, hassasiyet ve idrar yapamama, mesane rüptürü ile ilgili ana belirti ve semptomlardýr. Bu yazýda, taný ve cerrahi tedavi konularýna özel vurgu yaparak, düþük enerjili bir travma sonucunda oluþan birlikte diyafram ve mesane rüptürlü bir olgudaki baþarýlý bir deneyimimizi sunuyoruz.

Anahtar Kelimeler: Diyafram, karýn yaralarý/taný/cerrahi; mesane/ yaralanma/cerrahi; yaralar, künt; yýrtýk.

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Combined diaphragmatic and urinary bladder rupture after minor motorcycle accident (Report of a case and literature review)

Stavros Gourgiotis¹, Stefanie Rothkegel², Stylianos Germanos^1
112nd Department Of Surgery, 401 General Military Hospital Of Athens, Athens, Greece
²Department Of Emergency Surgery, Justus-liebig University, Giessen; Germany

Diaphragmatic and urinary bladder ruptures are rare entities after blunt abdominal trauma and they are usually the results of high energy injuries. They seldom occur in isolation. For the diaphragmatic rupture, the accurate diagnosis depends on high index of suspicion and careful scrutiny of the chest X-ray, while gross hematuria is the hallmark finding in patients with bladder rupture. Suprapubic pain, tenderness, and inability to void are the main symptoms and signs of bladder rupture. In this report, we describe our successful experience with a case of combined diaphragmatic and urinary bladder rupture occurred in isolation as a result of low energy trauma, with special emphasis on diagnosis and surgical treatment.

Keywords: Abdominal injuries/diagnosis/surgery, diaphragm; rupture; urinary bladder/injuries/surgery; wounds, nonpenetrating.

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