Q) Rupture of Urinary Bladder : False statement is
a) Associated with perineal hematoma
b) Emergency laparotomy is required in most cases
c) Investigation of choice is IVP
d) Blunt urinary bladder trauma is associated with pelvic fractures
Both b and c are wrong but the question was like this only.
Rupture of urinary bladder is mostly extraperitoneal (80%) but can also be intraperitoneal (20%). Intra peritoneal rupture is usually when injury occurs in a full distended bladder. Haematuria may or may not be present.
Perineal injuries may be seen in most cases
Associated uretheral injury may be common.
Intravenous urography , Retrograde cystography and CT are the investigation of choice. Most important point is to visualize the bladder in both filled and empty state. In case of minor injuries, in the filled state small bladder injuries may be missed.
Nobody does IVP or retrograde cystourethrography but it is still mentioned in books as the procedure of choice.
Most extraperitoneal urinary bladder injuries are managed conservatively